| NPI | 1164653358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANI C OSORIO Speech Language Pathologist 910-551-3337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 7846) |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2009-08-05 |