| NPI | 1730514183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY A CARLSO Owner 719-289-1191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224ZE0001X Occupational Therapy Assistant Environmental Modification |
| Additional Taxonomies | 225XN1300X Occupational Therapist Neurorehabilitation |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2013-09-04 |