| NPI | 1154468320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEIGH HONOR KIDA Occupational Therapist Assistant |
| Organization Subpart ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MA 2650) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |