| NPI | 1922631100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDER CHARLES Owner 862-272-7504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 225100000X Physical Therapist | |
| 225XH1200X Occupational Therapist, Hand | |
| 2251C2600X Physical Therapist, Cardiopulmonary | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2021-09-15 |