| NPI | 1972875896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATEASHA D GAITHER Owner 870-400-0179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| 235Z00000X Speech-Language Pathologist, | |
| 224Z00000X Occupational Therapy Assistant | |
| 225100000X Physical Therapist | |
| 2251P0200X Physical Therapist, Pediatrics | |
| 225200000X Physical Therapy Assistant | |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2023-12-28 |