| NPI | 1184714719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSTY G BECKER CEO 334-532-0220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: AL 2334) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2012-12-28 |