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 |