NPI | 1477914505 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY ANN BRADLEY Owner 504-430-2738 |
Organization Subpart ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: LA OTTz12169) |
Enumeration Date | 2016-03-17 |
Last Update Date | 2017-03-09 |