| NPI | 1538731450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA KAISHA MCNEELY Occupational Therapist/Owner 719-289-2530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Enumeration Date | 2021-07-12 |
| Last Update Date | 2021-07-12 |