| NPI | 1073692653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA MIX Credentialing COO Rdinator 1800-459-2121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist Hand (Licence: KY R3009) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-08-22 |