| NPI | 1457426918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA O'NEILL SPARKS Owner 662-279-2523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MS OT1721) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2013-02-04 |