| NPI | 1891229985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIANNA MCCONNELL Independent Contractor 574-807-5135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL 15872) |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2017-04-14 |