| NPI | 1538948864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN DIDULO Owner 402-212-6184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2023-09-26 |
| Last Update Date | 2023-09-27 |