| NPI | 1053556001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENE M CANFIELD Speech Pathologist 931-261-8007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TN 1538) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TN 3905) |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2008-12-10 |