| NPI | 1124255567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN J BROWN Owner 314-954-5785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: IL 056007821) |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2012-06-11 |