| NPI | 1104579135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISABETH GULLETT Owner/Occupational Therapist 703-935-9376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2023-11-03 |