NPI | 1528404126 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS DWAYNE ABBOTT Owner 251-408-7779 |
Organization Subpart ? | No |
Primary Taxonomy | 225XH1200X Occupational Therapist, Hand (Licence: AL 1265) |
Enumeration Date | 2013-05-22 |
Last Update Date | 2013-05-22 |