| NPI | 1376648220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BETH PATTON President, Otr 262-781-8144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 892-026) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2011-12-09 |