NPI | 1205141082 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN SHAYNE GOLDSTEIN Sole Proprietor 314-853-3914 |
Organization Subpart ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist |
Additional Taxonomies | 225XE0001X Occupational Therapist, Environmental Modification |
225XG0600X Occupational Therapist, Gerontology | |
Enumeration Date | 2010-08-17 |
Last Update Date | 2010-08-17 |