| NPI | 1871772228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLENE WIGGINS President 757-923-5054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119000731) |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2012-04-10 |