| NPI | 1912411950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENEVIEVE RODGERS Executive Director 833-228-5501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XL0004X Occupational Therapist, Low Vision |
| Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2017-11-29 |