| NPI | 1710346267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN MICHELLE PARKS Owner/Operator/Provider 912-996-2069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: GA OT001375) |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2017-02-03 |