| NPI | 1841166063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PORSCHE ALEXANDRIA FOWLKES Chief Executive Officer 909-569-3742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Enumeration Date | 2025-10-14 |
| Last Update Date | 2025-10-14 |