| NPI | 1467901488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN LAURIA NELSON Owner And Sole Member 331-305-3332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IL 056007182) |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2016-10-03 |