| NPI | 1114656501 |
|---|---|
| Doing Business As | LEAD THE WAY THERAPIES |
| Entity Type | Organization |
| Authorized Contact | CANDACE PETERSON Occupational Therapist, Owner 616-308-0719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics |
| Enumeration Date | 2022-06-09 |
| Last Update Date | 2022-07-29 |