| NPI | 1285790113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER H HAYES Therapy Director 888-735-9403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 4768) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |