| NPI | 1962240895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | POLYXENIA PANTOS Owner/Occupational Therapist 860-410-6691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 225XF0002X Occupational Therapist, Feeding, Eating & Swallowing |
| 225XP0019X Occupational Therapist, Physical Rehabilitation | |
| Enumeration Date | 2024-07-16 |
| Last Update Date | 2024-07-16 |