| NPI | 1508400763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS LONG CEO/Occupational Therapist 931-241-1159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2019-10-31 |