| NPI | 1982133237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL NICOLE REYNOLDS Owner/Occupational Therapist 912-663-4118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: GA OT005053) |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2022-07-21 |