| NPI | 1578423869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONY M BOND Occupational Therapist 502-650-4120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2025-11-18 |
| Last Update Date | 2025-11-18 |