| NPI | 1851770598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA MATTHEW ADLER Owner/Director 757-472-2513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: VA 0119003742) |
| Additional Taxonomies | 251S00000X |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2024-05-29 |