| NPI | 1972556199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEWAYNE STEVEN GARRETT Chief Manager 1276-356-2701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2007-09-26 |