| NPI | 1306284542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAELA KISTLER Member 971-888-5265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: OR 1054642) |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2013-06-10 |