| NPI | 1891028114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN WILLIAM PULKET Vice President 703-447-4699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2009-09-18 |