| NPI | 1134403140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARETTA GEORGETTA MINCEY Occupational Therapist/Owner 7708-966-6518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: GA OT003165) |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2011-10-10 |