| NPI | 1306458096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA WRIGHT PARNELL Owner 251-604-5489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225XE0001X Occupational Therapist Environmental Modification |
| 225XP0019X Occupational Therapist Physical Rehabilitation | |
| Enumeration Date | 2020-08-23 |
| Last Update Date | 2020-08-23 |