| NPI | 1750883542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN THOMPSON Owner 228-218-9199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XE0001X Occupational Therapist, Environmental Modification |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2018-03-07 |