| NPI | 1366519613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN P WITTGEN Occupational Therapist 678-234-9761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: GA 002916) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2020-12-15 |