| NPI | 1881961738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLY SHANNON Pediatric Occupational Therapist 859-312-4076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: IL 056006697) |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2011-11-21 |