| NPI | 1154841039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISSA JOHNSON Owner/Occupational Therapist 253-202-4246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2017-06-22 |
| Last Update Date | 2017-06-22 |