| NPI | 1851078083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANIENE DENOMME Occupational Therapist 810-434-6006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2023-06-29 |
| Last Update Date | 2023-06-29 |