| NPI | 1982844502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE OCHENDUSZKO Occupational Therapist 419-410-6371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171W00000X Contractor (Licence: SC 2960) |
| Enumeration Date | 2009-02-22 |
| Last Update Date | 2009-02-22 |