| NPI | 1760738975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTA MIRACLE Owner/ Occupational Therapist 717-816-0742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: PA OC004139L) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC004139L) |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2012-07-27 |