| NPI | 1447081062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DYLAN MACKEY Owner 507-881-0383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XE0001X Occupational Therapist, Environmental Modification |
| Enumeration Date | 2024-08-13 |
| Last Update Date | 2024-08-13 |