| NPI | 1497440770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA R BALOG Director, Occupational Therapist 804-476-4389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2025-11-11 |