NPI | 1164180097 |
---|---|
Entity Type | Organization |
Authorized Contact | CINDY DUCKWORTH Member 484-432-1614 |
Organization Subpart ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
225100000X Physical Therapist | |
Enumeration Date | 2021-12-08 |
Last Update Date | 2021-12-08 |