| 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 |