| NPI | 1255845350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA EVANS Occupational Therapist 318-381-2734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: LA 304388) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: LA 304388) |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2017-11-28 |