| NPI | 1063148377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN MANVELL Owner / Slp 714-943-7146 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center Hearing and Speech |
| Additional Taxonomies | 2355S0801X Specialist/Technologist Speech-Language Assistant |
| 235Z00000X Speech-Language Pathologist | |
| 261QP2000X Clinic/Center Physical Therapy | |
| Enumeration Date | 2022-07-28 |
| Last Update Date | 2022-07-28 |