| NPI | 1275232811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUTUMN MICHELLE BOBO President 256-310-8053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-03-02 |
| Last Update Date | 2024-10-01 |