| NPI | 1336604123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANN WASZKIEWICZ Owner/Authorized Official 866-321-6672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2019-12-16 |