| NPI | 1205297785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERIN MORTON FETTY Owner 540-773-4436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119003455) |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2016-03-11 |