| NPI | 1194595678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATYLON NICOLE ANDERSON Occupational Therapist 318-237-2739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Enumeration Date | 2024-01-04 |
| Last Update Date | 2024-01-04 |