| NPI | 1619255460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE M PETERS Owner/Pediatric Ot 251-753-1613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: AL 3077) |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2011-09-07 |