| NPI | 1134905482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA P VIVODA Owner 816-914-0359 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XF0002X Occupational Therapist, Feeding, Eating & Swallowing |
| Enumeration Date | 2023-09-04 |
| Last Update Date | 2023-09-05 |