| NPI | 1689950602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN KIMBER Occupational Therapist 810-394-7188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103TS0200X Psychologist, School | |
| 225100000X Physical Therapist | |
| 2251P0200X Physical Therapist, Pediatrics | |
| 225X00000X Occupational Therapist | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2011-12-02 |