| NPI | 1528876372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DESTINY MICHELLE THOMAS Occupational Therapist 269-532-9505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics |
| 225XG0600X Occupational Therapist Gerontology | |
| Enumeration Date | 2024-12-26 |
| Last Update Date | 2025-08-13 |