| NPI | 1679284889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATRICIA WILLIAMS Owner 229-429-6025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| Enumeration Date | 2022-12-08 |
| Last Update Date | 2026-03-26 |