| NPI | 1447020284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADELYN MARIE TRIPPEL Occupational Therapist 318-616-2336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2024-01-03 |
| Last Update Date | 2024-01-03 |