NPI | 1346630035 |
---|---|
Doing Business As | EMPIRE PEDIATRIC THERAPY |
Entity Type | Organization |
Authorized Contact | MAILE K MOHSENIAN Owner, Provider 509-701-7651 |
Organization Subpart ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT60269905) |
Additional Taxonomies | 225100000X Physical Therapist |
225X00000X Occupational Therapist (Licence: WA OT60223038) | |
Enumeration Date | 2015-02-02 |
Last Update Date | 2022-04-20 |