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 |