| NPI | 1235412099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY MAINER Owner/Provider 770-815-4590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT002000) |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2012-09-17 |