| NPI | 1881020477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BARTHOLOMEW Owner 662-471-8848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MS OT0375) |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2014-06-02 |