| NPI | 1194169128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA JEAN BOCKSTOCE Occupational Therapist 330-864-5247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: OH 004860) |
| Enumeration Date | 2013-04-21 |
| Last Update Date | 2013-04-21 |