| NPI | 1902180573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY RUSSO STONE CEO; Owner; Occupational Therapist 678-462-2923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XN1300X Occupational Therapist, Neurorehabilitation |
| Additional Taxonomies | 225XE0001X Occupational Therapist, Environmental Modification |
| 225XF0002X Occupational Therapist, Feeding, Eating & Swallowing | |
| 225XM0800X Occupational Therapist, Mental Health | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2023-06-20 |