| NPI | 1811467939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELYSE COMER Ot 401-440-5035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics |
| 235Z00000X Speech-Language Pathologist | |
| 251E00000X Home Health | |
| Enumeration Date | 2018-12-01 |
| Last Update Date | 2018-12-01 |