| NPI | 1114420700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN PESTINGER Owner 405-476-1745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: OK 1546) |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2023-05-02 |