| NPI | 1679168256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN ELIZABETH RUGGLES Ot, Owner 269-443-2342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2021-03-04 |