| NPI | 1154953487 |
|---|---|
| Doing Business As | KIDSBRAINTREE FORT COLLINS |
| Entity Type | Organization |
| Authorized Contact | MAXINE HALLER Owner 614-312-7045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XN1300X Occupational Therapist, Neurorehabilitation |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-05 |