| NPI | 1457157158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEKIA GRISSOM Owner 770-568-2834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XR0403X Occupational Therapist, Driving and Community Mobility |
| Enumeration Date | 2025-02-22 |
| Last Update Date | 2025-02-22 |