| NPI | 1801065891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA C FRUIN Owner 912-844-9731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 225100000X Physical Therapist | |
| Enumeration Date | 2008-02-25 |
| Last Update Date | 2009-08-26 |