| NPI | 1053181834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE K FAIRBAIRN Owner 424-225-1481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2024-01-03 |
| Last Update Date | 2024-01-03 |