| NPI | 1306440953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER MARIE TRUOG Owner 269-760-7867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2020-11-24 |
| Last Update Date | 2021-01-11 |