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 |