| NPI | 1104624816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAYE KOUIMELIS CEO, Psychologist, Ot 720-500-2062 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2025-03-06 |
| Last Update Date | 2025-03-06 |