NPI | 1285133017 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA CRAIG Provider, Owner 208-908-6116 |
Organization Subpart ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ID OT-1345) |
Enumeration Date | 2018-02-07 |
Last Update Date | 2018-02-07 |