| NPI | 1174208607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIGUEZ ANTONIO THOMAS Owner/Occupational Therapist 731-798-6331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Enumeration Date | 2023-06-21 |
| Last Update Date | 2023-06-21 |