NPI | 1225386881 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA LYNN DUBWIG Occupational Therapist 870-391-9912 |
Organization Subpart ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: AR OTR1332) |
Enumeration Date | 2012-08-29 |
Last Update Date | 2012-08-29 |