| NPI | 1396053039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LADONA K. MCMACKIN Co Owner 740-646-5652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OH OT.007608) |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2010-09-15 |