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 |