| NPI | 1164908646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY FICKLING Occupational Therapist 912-682-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 17822) |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2018-07-17 |