| NPI | 1205229622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODERICK BERNARD WILLIAMS Owner 225-677-8468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: LA OTT.ZII008) |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2015-03-10 |