| NPI | 1629463161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY DONLEY Founder, CEO 224-515-9060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: IN 31005435) |
| Enumeration Date | 2015-04-01 |
| Last Update Date | 2015-04-01 |