NPI | 1457861361 |
---|---|
Entity Type | Organization |
Authorized Contact | TIFFANY MARIE FRITZ Owner/CEO/Occupational Therapist 317-753-6962 |
Organization Subpart ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IN 31004103A) |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2017-10-05 |
Last Update Date | 2017-10-05 |