| NPI | 1073282331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTINE JOY PRUSKOWSKI Speech Language Pathologist 814-937-1985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-09-09 |
| Last Update Date | 2021-09-09 |