| NPI | 1366047359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIANA SANTOS Executive Director 571-730-7195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2021-02-17 |