| NPI | 1740430248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER CHAVEZ Owner Occupational Therapist 201-650-0903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 2251P0200X Physical Therapist Pediatrics | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2014-04-08 |