| NPI | 1659916302 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PAUL STAMPER Owner/Member 662-279-5910 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2025-04-14 |