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 |