NPI | 1124767413 |
---|---|
Entity Type | Organization |
Authorized Contact | DEANNA KANTOR Business Manager 308-254-5855 |
Organization Subpart ? | No |
Primary Taxonomy | 103TS0200X Psychologist School |
Additional Taxonomies | 163WS0200X Registered Nurse School |
224ZE0001X Occupational Therapy Assistant Environmental Modification | |
2251P0200X Physical Therapist Pediatrics | |
235Z00000X Speech-Language Pathologist | |
Enumeration Date | 2022-06-03 |
Last Update Date | 2022-06-03 |