| NPI | 1093345894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA SUE BALTUSNIK Owner 304-216-2979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2020-08-14 |