| NPI | 1497034599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMELA A. MOORE Owner 404-273-1052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2011-08-08 |