| NPI | 1083439251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIEL PODJUN Occupational Therapist 307-389-7509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XN1300X Occupational Therapist Neurorehabilitation |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2251N0400X Physical Therapist Neurology | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2024-11-21 |
| Last Update Date | 2024-11-24 |