NPI | 1508250184 |
---|---|
Entity Type | Organization |
Authorized Contact | STACY C MUELLER Clinical Director 662-349-8787 |
Organization Subpart ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MS OT2662) |
Enumeration Date | 2015-03-23 |
Last Update Date | 2015-03-23 |