| NPI | 1962168443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIANNA D. FERNANDEZ Occupational Therapist, Owner 314-319-0034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical | |
| 1041S0200X Social Worker, School | |
| 224Z00000X Occupational Therapy Assistant | |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2021-11-09 |