| NPI | 1093136285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE POPE ROTH President 256-658-3180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: AL 1273) |
| Enumeration Date | 2013-12-15 |
| Last Update Date | 2013-12-15 |