| NPI | 1962033514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANNIKA HANTHO Owner 862-202-9003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2020-11-13 |