| NPI | 1912773482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE COX Owner 706-616-7997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XE0001X Occupational Therapist, Environmental Modification |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2024-02-05 |