| NPI | 1912241522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PENNY WALKER ELKINS Otr/L 228-467-6955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MS OT0022) |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2012-11-20 |