| NPI | 1841650389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON A PICKERILL Occupational Therapist 719-644-1119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2023-10-20 |