| NPI | 1871811695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY FAULKENBERRY Owner/Occupational Therapist 1803-422-3458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: SC 2583) |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2010-05-05 |