| NPI | 1205160231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA YOUNG Owner 302-504-6067 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XE0001X Occupational Therapist, Environmental Modification (Licence: DE 0000827) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: DE 0000827) |
| 225XE0001X Occupational Therapist, Environmental Modification (Licence: PA OC004472L) | |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2011-07-27 |