| NPI | 1194214262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELLISA FANNING Occupational Therapist 256-684-3368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AL 2394) |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2018-05-04 |