| NPI | 1790328466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE A. JURADO Occupation Therapist 803-620-9702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2020-04-10 |