| NPI | 1831745918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE MICHELLE HILLMANN PRENTICE Owner 410-573-1064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2019-08-14 |
| Last Update Date | 2023-07-14 |