| NPI | 1760044846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN JAMES HOLLINGER Owner 636-578-0124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225CX0006X |
| Additional Taxonomies | 2255R0406X Specialist/Technologist, Rehabilitation, Blind |
| 225CA2400X Rehabilitation Counselor, Assistive Technology Practitioner | |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2019-06-28 |