| NPI | 1033675061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN DEARING Speech Language Pathologist 302-359-3468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 2081P0010X Physical Medicine & Rehabilitation Pediatric Rehabilitation Medicine |
| 2251P0200X Physical Therapist Pediatrics | |
| 225XP0200X Occupational Therapist Pediatrics | |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2019-02-14 |