NPI | 1477966372 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHERINE SCAMMERHORN Occupational Therapist 731-707-1237 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: TN 4982) |
Enumeration Date | 2014-06-09 |
Last Update Date | 2014-06-09 |