| NPI | 1518684802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN ABRAM Owner 678-201-0295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XR0403X Occupational Therapist, Driving and Community Mobility |
| Enumeration Date | 2022-10-26 |
| Last Update Date | 2023-12-07 |