NPI | 1053945972 |
---|---|
Entity Type | Organization |
Authorized Contact | JASON R. BERGANCIA Speech Language Pathologist 619-807-4336 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 225100000X Physical Therapist |
225X00000X Occupational Therapist | |
Enumeration Date | 2020-02-29 |
Last Update Date | 2022-03-21 |