| NPI | 1720449036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA K BROWN Owner 304-573-1887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 2255A2300X Specialist/Technologist Athletic Trainer | |
| 225700000X Massage Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2016-03-14 |
| Last Update Date | 2017-08-14 |