NPI | 1134332851 |
---|---|
Former Name | ANGELA T DENK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202006421) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: WI 2851-154) |
235Z00000X Speech-Language Pathologist, (Licence: MO 2008012494) | |
Enumeration Date | 2007-05-08 |
Last Update Date | 2011-10-17 |