| NPI | 1093478729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNIE MARIE BURGESS Owner/Occupational Therapist 980-290-7311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2026-01-27 |