| NPI | 1285626937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH J HERZOG Owber 913-579-8556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2022-12-30 |