| NPI | 1376287896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE VANDER HEIDEN Owner 920-209-0012 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| Enumeration Date | 2022-04-21 |
| Last Update Date | 2024-01-02 |