| NPI | 1942591821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARWYN GARIBAY BENEMERITO Owner/ Occupational Therapist 901-309-5219 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TN 955) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TN 3892) |
| 235Z00000X Speech-Language Pathologist, (Licence: TN 2379) | |
| 235Z00000X Speech-Language Pathologist, (Licence: TN 3275) | |
| 235Z00000X Speech-Language Pathologist, (Licence: TN 3278) | |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2014-08-25 |