NPI | 1194354548 |
---|---|
Entity Type | Organization |
Authorized Contact | RONDA LYNN ALLEE Owner/Otr 409-381-1677 |
Organization Subpart ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist |
Additional Taxonomies | 103K00000X Behavior Analyst |
225100000X Physical Therapist | |
235Z00000X Speech-Language Pathologist | |
261QM1300X Clinic/Center Multi-Specialty | |
Enumeration Date | 2020-04-07 |
Last Update Date | 2024-09-09 |