| NPI | 1588134126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAROL M SANTISTEVAN Owner 307-267-7416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2024-10-15 |