| NPI | 1144854316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA HENDRIX Occupational Therapist/ Owner 810-516-4631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2021-07-25 |