NPI | 1154210375 |
---|---|
Former Legal Business Name | IMAGO CHILDREN'S THERAPY SERVICES, LLC |
Entity Type | Organization |
Authorized Contact | LINDSAY KIEHL GOOD MUDALEL Owner, Lead Occupational Therapist 302-668-5887 |
Organization Subpart ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
Enumeration Date | 2025-07-01 |
Last Update Date | 2025-07-01 |