| NPI | 1073515540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN JEAN SYRON Owner 703-941-7757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202003585) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119000884) |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2007-08-21 |