| NPI | 1558180505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRIAM PENAFLOR KENNETZ Occupational Therapist 901-687-8233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics |
| Enumeration Date | 2024-10-07 |
| Last Update Date | 2024-10-07 |