| NPI | 1043098080 |
|---|---|
| Former Legal Business Name | COLLABORATION THERAPY LLC |
| Entity Type | Organization |
| Authorized Contact | KATLYN MARTIN Clinician 567-220-6545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2023-09-20 |