| NPI | 1114301223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI M ATANGAN Speech Language Pathologist 571-207-8850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2018-06-12 |