| NPI | 1144893355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LADONNA GAIL GRAY Certified Occupational Therapy Assi 270-608-2084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2021-07-24 |
| Last Update Date | 2021-07-24 |