| NPI | 1174351316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN H DEMING Occupational Therapist/Owner 731-431-1429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2024-07-22 |