| NPI | 1356548424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY MANCHESTER Service Coordinator 870-930-6269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2007-06-30 |
| Last Update Date | 2020-08-22 |