| NPI | 1073660387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA MONTAGUE President 856-988-1160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-08-22 |