| NPI | 1366088460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUKUDZO D MAZAIWANA President 866-757-7333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2019-11-23 |
| Last Update Date | 2020-11-30 |