| NPI | 1851053094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER HUGHES GOODMAN Occupational Therapist 800-584-0958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 208000000X Pediatrics |
| 224Z00000X Occupational Therapy Assistant | |
| 251E00000X Home Health | |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2023-07-13 |