| NPI | 1336534247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADLEY ALAN COOPER Partner 662-417-5815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MS 0258) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MS 2342) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2015-03-30 |