| NPI | 1285074633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE WAGERS Owner/Occupational Therapist 541-255-2681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2020-01-16 |