NPI | 1336025691 |
---|---|
Entity Type | Organization |
Authorized Contact | MCKENNA NOVAK Owner 515-321-3317 |
Organization Subpart ? | No |
Primary Taxonomy | 225XF0002X Occupational Therapist, Feeding, Eating & Swallowing |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
Enumeration Date | 2025-08-13 |
Last Update Date | 2025-08-13 |