NPI | 1326455486 |
---|---|
Entity Type | Organization |
Authorized Contact | JERI GILL MCKENZIE Owner 580-221-3950 |
Organization Subpart ? | No |
Primary Taxonomy | 225XE0001X Occupational Therapist, Environmental Modification (Licence: OK 600) |
Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: OK 2242) |
Enumeration Date | 2014-07-21 |
Last Update Date | 2014-07-21 |