| NPI | 1144486317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY B GODFREY President/CEO 918-806-1492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: OK 1464) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2012-09-04 |