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 |