NPI | 1104711647 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTONIA SHRAYEV Owner/President 240-388-7387 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 225100000X Physical Therapist |
225X00000X Occupational Therapist | |
Enumeration Date | 2025-06-12 |
Last Update Date | 2025-06-12 |