| NPI | 1104047679 |
|---|---|
| Former Legal Business Name | GOLD THERAPY SERVICES, INC |
| Entity Type | Organization |
| Authorized Contact | TIFFANY HURLBUT Executive Director 330-505-1606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH sp5596) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: OH ot4984) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2024-04-09 |