| NPI | 1831348879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN JUNE MINTEN Occupational Therapist 920-918-7529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 4552-26) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2009-01-14 |