| NPI | 1134845795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA AMANDA GARCIA Speech Language Pathologist 405-550-7878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2022-10-17 |