| NPI | 1467268490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH BRACK Manager, Otr 337-202-0568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| Enumeration Date | 2024-12-04 |
| Last Update Date | 2025-01-10 |