| NPI | 1992512677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCO COLETTA Owner 586-216-5240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-12-16 |
| Last Update Date | 2025-01-02 |