| NPI | 1083355747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REESA ANTONY Speech Language Pathologist 201-878-4296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2022-10-06 |