| NPI | 1982306064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILLA F NOVA Owner 401-301-1014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225XF0002X Occupational Therapist, Feeding, Eating & Swallowing |
| 225XP0200X Occupational Therapist, Pediatrics | |
| Enumeration Date | 2023-03-21 |
| Last Update Date | 2023-03-21 |