| NPI | 1336728070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA DEHART Owner 318-608-2133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2021-04-08 |