| NPI | 1477247971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW ZACHARY MITTLER Owner/Operator 719-822-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2023-06-07 |
| Last Update Date | 2023-10-03 |