| NPI | 1215638259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA ARLENE TRENTHAM Occupational Therapist 470-645-1477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Enumeration Date | 2023-03-16 |
| Last Update Date | 2023-03-16 |