NPI | 1881319093 |
---|---|
Entity Type | Organization |
Authorized Contact | LATASHA LARSON Owner 320-293-3205 |
Organization Subpart ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist |
Additional Taxonomies | 225XE0001X Occupational Therapist, Environmental Modification |
225XG0600X Occupational Therapist, Gerontology | |
Enumeration Date | 2022-10-10 |
Last Update Date | 2023-01-19 |