| NPI | 1841839644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE GOODMAN Owner 706-201-9661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225100000X Physical Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2019-12-27 |
| Last Update Date | 2019-12-27 |