| NPI | 1174041354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE JOY DAVIS-KORNGUT Owner/Occupational Therapist 609-213-6439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2022-07-21 |