| NPI | 1184952608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY ELIZABETH BRAGG Managing Member 314-494-6337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2009-11-20 |