| NPI | 1740041144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUSTIN PUGH Owner 907-903-2221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XE0001X Occupational Therapist, Environmental Modification |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-01-28 |