| NPI | 1275958662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA H KOLAK Occupational Therapist 331-213-9951 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: IL 056001825) |
| Enumeration Date | 2014-02-21 |
| Last Update Date | 2014-03-26 |