| NPI | 1649625161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA ANN HARRIS Occupational Therapist 4043-528-1925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT004278) |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2016-05-03 |