| NPI | 1588895791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KANDYL K DOMANGUE Owner 985-209-9239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: LA OTT.200287) |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2009-08-05 |