| NPI | 1154951952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA DAWN GRONAU STEVENS Owner/Occupational Therapist 316-284-1583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2020-01-21 |