| NPI | 1447355615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN STARNES Executive Director 307-235-5097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-08-22 |