| NPI | 1508417601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY L DUBOIS Owner 814-312-6898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XN1300X Occupational Therapist, Neurorehabilitation |
| Additional Taxonomies | 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2019-09-20 |