| NPI | 1225465669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE NICOLE SOLDAT Owner 307-277-1283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WY OTR-827) |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2022-12-29 |