NPI | 1033993043 |
---|---|
Doing Business As | RIVERBEND PEDIATRIC THERAPY |
Entity Type | Organization |
Authorized Contact | BRENT M ROBERTSON Owner 985-590-4549 |
Organization Subpart ? | No |
Primary Taxonomy | 103K00000X Behavior Analyst |
Additional Taxonomies | 225100000X Physical Therapist |
225X00000X Occupational Therapist | |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2023-08-21 |
Last Update Date | 2024-05-22 |