| NPI | 1033360193 |
|---|---|
| Doing Business As | VININGS PEDIATRIC THERAPY |
| Entity Type | Organization |
| Authorized Contact | JENNIFER SULLIVAN STUART Speech Language Pathologist 770-853-0887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006235) |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2008-10-08 |