| NPI | 1801575550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KINDRA SCOTT Owner 267-297-6499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2023-07-13 |