| NPI | 1336548783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACIE JACKSON Occupational Therapist/President 205-266-5394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AL 2276) |
| Additional Taxonomies | 225XG0600X Occupational Therapist, Gerontology (Licence: AL 2276) |
| 225XL0004X Occupational Therapist, Low Vision (Licence: AL 2276) | |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2014-08-21 |