NPI | 1639642341 |
---|---|
Doing Business As | K-BAY KIDS LLC |
Entity Type | Organization |
Authorized Contact | JEANNE ANDERSON Occupational Therapist 570-977-1800 |
Organization Subpart ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist |
Enumeration Date | 2019-01-04 |
Last Update Date | 2019-01-04 |