| NPI | 1578512547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ERRETT RUTH Area Director Of Operations 188-814-3248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2020-08-22 |