| NPI | 1821690512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY BAUTISTA Occupational Therapist/Owner 732-484-0285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2020-11-09 |
| Last Update Date | 2020-11-09 |