| NPI | 1750095204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TALIA THERIAULT Owner 484-343-3017 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2023-01-10 |