| NPI | 1336986108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH AMORY KIDDER Founder 617-721-4958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics |
| Additional Taxonomies | 2080P0006X Pediatrics Developmental - Behavioral Pediatrics |
| 235Z00000X Speech-Language Pathologist | |
| 261QD1600X Clinic/Center Developmental Disabilities | |
| 261QP2000X Clinic/Center Physical Therapy | |
| Enumeration Date | 2024-07-10 |
| Last Update Date | 2024-07-10 |