NPI | 1417684309 |
---|---|
Entity Type | Organization |
Authorized Contact | TIFFANY MOORE Owner 678-651-6050 |
Organization Subpart ? | No |
Primary Taxonomy | 225600000X Dance Therapist |
Additional Taxonomies | 225X00000X Occupational Therapist |
Enumeration Date | 2022-08-02 |
Last Update Date | 2022-08-09 |