| NPI | 1245633544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE KOLANKO Owner/Sole Mbr 304-374-1252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT14203) |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2014-09-30 |