| NPI | 1740027226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA IADEROSA Occupational Therapist 248-470-3192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2024-07-11 |