| NPI | 1164116075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY DENISE ROPER Owner 870-680-0629 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 2251P0200X Physical Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2023-06-05 |