| NPI | 1497484778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATESS ECHAVARRIA Owner 470-266-0623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2022-06-10 |
| Last Update Date | 2022-06-16 |