| NPI | 1093256109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY UTECHT Director, CEO 844-543-8437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-03-09 |