| NPI | 1104176718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA ZITO Speech Pathologist 678-733-9318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP005916) |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2012-09-12 |