| NPI | 1740366186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW MATEBEJANA MASHALA President 574-293-9907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IN 31002483A) |
| Enumeration Date | 2006-10-28 |
| Last Update Date | 2020-08-22 |