| NPI | 1477636686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN G GARRETT Owner/President 757-269-0430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119001200) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-08-22 |