| NPI | 1144873274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSAY KALE Occupational Therapist 438-806-3110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2019-07-18 |