| NPI | 1992689244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY OLIVIA MAENNER Owner 443-802-8102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171400000X |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2025-07-31 |
| Last Update Date | 2025-07-31 |