| NPI | 1093974412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH G. CROCKETT Occupational Therapist 706-379-4068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 225XP0200) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2008-06-02 |