| NPI | 1265651525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER G. STEPHENSON Owner 317-695-8674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: IN 31001961A) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-08-22 |