NPI | 1609429323 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE MARIE PHIBBS Occupational Therapist, Owner 734-883-5334 |
Organization Subpart ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
Additional Taxonomies | 225X00000X Occupational Therapist |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2019-07-22 |
Last Update Date | 2025-04-23 |