NPI | 1639441371 |
---|---|
Entity Type | Organization |
Authorized Contact | MOLLY MCLEMORE BLAYLOCK Owner 318-348-2500 |
Organization Subpart ? | No |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: LA OTA.200086) |
Enumeration Date | 2012-01-26 |
Last Update Date | 2012-01-26 |