| NPI | 1912239419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE M CRENSHAW Executive Director 678-923-1088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: GA 0614616) |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2010-02-08 |