| NPI | 1174088959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN MICHELLE LONG Owner/Cota 256-585-5925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics |
| 2355S0801X Specialist/Technologist Speech-Language Assistant | |
| 235Z00000X Speech-Language Pathologist | |
| 2251P0200X Physical Therapist Pediatrics | |
| 225200000X Physical Therapy Assistant | |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2019-02-05 |