| NPI | 1487381489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN SORENSEN Occupational Therapist/Owner 505-803-7305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225XF0002X Occupational Therapist Feeding, Eating & Swallowing | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| 261QP2000X Clinic/Center Physical Therapy | |
| Enumeration Date | 2022-08-01 |
| Last Update Date | 2024-09-20 |