| NPI | 1972328714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY STGERMAIN Founder 203-927-1072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2024-11-18 |
| Last Update Date | 2024-11-18 |