| NPI | 1205055670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE POORE Manager Of Allied Professionals 800-670-3893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00430200) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC009947) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |