| NPI | 1629081906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY D BRIAND Co Owner 877-552-2996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070009875) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2012-06-11 |