NPI | 1851605604 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE SZMYD Owner 307-673-4420 |
Organization Subpart ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: WY OTR-787) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2010-08-04 |
Last Update Date | 2010-08-04 |