| NPI | 1033828579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYLA S GRZEGORCZYK Speech Language Pathologist 719-551-6499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-11-22 |
| Last Update Date | 2022-11-22 |