| NPI | 1093648230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDANCE CODE Partner/Executive Director 662-719-9211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 2080P0008X Pediatrics, Neurodevelopmental Disabilities | |
| 2251P0200X Physical Therapist, Pediatrics | |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2026-06-06 |
| Last Update Date | 2026-06-06 |