NPI | 1164055513 |
---|---|
Entity Type | Organization |
Authorized Contact | MACKENZIE M WOODWORTH Speech Language Pathologist 509-981-3998 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 225X00000X Occupational Therapist |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2020-02-13 |
Last Update Date | 2024-01-21 |