| NPI | 1649378951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA RAY Occupational Therapist 706-339-4026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: GA OT001615) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |