| NPI | 1295356228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHUNAKA GRAYSON WHITE Owner 901-237-1554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225XE0001X Occupational Therapist, Environmental Modification |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2020-04-30 |