| NPI | 1730899717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATRICIA WILLIAMS Administrator 346-588-1495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2023-08-21 |