| NPI | 1154077394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY ANN SPAIN Owner 702-518-3249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2022-02-25 |
| Last Update Date | 2022-03-19 |