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 |