| NPI | 1124417829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH SPOKAS Owner 678-557-0487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics |
| Additional Taxonomies | 225100000X Physical Therapist |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2015-01-19 |
| Last Update Date | 2015-01-19 |