| NPI | 1417235490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY S VOLLENWEIDER Owner 228-216-9996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MS OT1249) |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2014-12-31 |