| NPI | 1083656920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LADESSA FORREST Manager 316-773-7975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KS 17-01870) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2020-08-22 |