| NPI | 1174079453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE ANN ISAACS Occupational Therapist 870-710-0377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: AR OTR524) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-08-28 |