| NPI | 1679239081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAUREEN L COLEMAN Owner 318-525-8184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 101Y00000X Counselor |
| 174400000X Specialist | |
| 208000000X Pediatrics | |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics | |
| 224Z00000X Occupational Therapy Assistant | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2021-11-10 |