| NPI | 1457995540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA HARRISON Occupational Therapist 757-655-1130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2024-11-29 |