| NPI | 1679050843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH COUCH Owner, Occupational Therapist 217-493-0219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CO OT.0004721) |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2018-07-20 |