| NPI | 1184193690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SUE WOLF Owner/Occupational Therapist 580-775-0699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2019-09-15 |