| NPI | 1265094007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KACY NELSO Occupational Therapist/Owner 262-496-0289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2019-07-02 |
| Last Update Date | 2019-07-02 |