| NPI | 1366056244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED STONE President 770-533-1178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 224ZF0002X Occupational Therapy Assistant Feeding, Eating & Swallowing | |
| 225XF0002X Occupational Therapist Feeding, Eating & Swallowing | |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2020-09-22 |