| NPI | 1578081634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA MICHELLE LOONEY Owner 580-982-8316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OK 2138) |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2022-07-21 |