NPI | 1629386297 |
---|---|
Entity Type | Organization |
Authorized Contact | MOLLY SHAW WILSON Owner 603-501-0897 |
Organization Subpart ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NH 2087) |
Enumeration Date | 2010-09-16 |
Last Update Date | 2010-09-16 |