| NPI | 1174270185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEMINA RIBEN Owner /O.T. 248-854-0313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 104100000X Social Worker |
| 225100000X Physical Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2022-03-09 |
| Last Update Date | 2023-02-03 |