| NPI | 1164248712 |
|---|---|
| Doing Business As | LEAP AHEAD THERAPY SERVICES |
| Entity Type | Organization |
| Authorized Contact | NATHAN MUTCHNICK Owner 248-229-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2024-11-27 |
| Last Update Date | 2024-12-15 |