| NPI | 1326878059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW JACKSON Owner 435-650-7128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2251P0200X Physical Therapist, Pediatrics | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2024-08-06 |
| Last Update Date | 2024-08-06 |