| NPI | 1639962442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAITLIN A ROBERTS Managing Member 256-736-3056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2025-05-24 |
| Last Update Date | 2025-06-06 |