| NPI | 1760231898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AISLINN MASON Ot; Business Owner 678-758-9127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XM0800X Occupational Therapist Mental Health |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics |
| Enumeration Date | 2024-05-13 |
| Last Update Date | 2024-05-13 |