| NPI | 1346080827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTAL NEWKIRK Owner/Occupational Therapist 229-854-3607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics |
| Enumeration Date | 2024-05-30 |
| Last Update Date | 2024-05-30 |