NPI | 1992052096 |
---|---|
Entity Type | Organization |
Authorized Contact | LYNNE J GANZ Director/Owner 703-796-9887 |
Organization Subpart ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: VA 0119000014) |
Enumeration Date | 2012-08-07 |
Last Update Date | 2012-08-07 |