| NPI | 1992363857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARA CLINE Owner 870-514-7040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2023-03-21 |