| NPI | 1083396964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAYANNA NICOLE VANCE-RODRIGUEZ Chief Executive Officer 757-971-0808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2023-08-01 |