| NPI | 1164610119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA THERESE LA SALLE Owner/ Slp 215-694-0689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL004452L) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 225XP0200X Occupational Therapist, Pediatrics | |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2007-10-03 |