| NPI | 1093566754 |
|---|---|
| Doing Business As | THE OT SPACE |
| Entity Type | Organization |
| Authorized Contact | CARISSA A CARILLO Owner 520-599-3807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2024-04-08 |