| NPI | 1558977637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLANA JACLYN LUMBARD Occupational Therapist 757-284-5289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225XF0002X Occupational Therapist, Feeding, Eating & Swallowing |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 251E00000X Home Health | |
| 252Y00000X Early Intervention Provider Agency | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2020-09-23 |
| Last Update Date | 2020-09-23 |