| NPI | 1114102845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY R LUPIEN Director 770-425-2151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: GA OT000594) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2007-12-31 |