| NPI | 1124649173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN HOUSTON KEELING Partner 678-697-2932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2026-07-15 |