| NPI | 1669702825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERENCE P LUMLEY Director Of Services 4847-447-1110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2010-01-10 |
| Last Update Date | 2010-02-03 |