| NPI | 1689208480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRESSOR SHADEL Business Manager 423-463-0683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2021-02-19 |