NPI | 1174121487 |
---|---|
Doing Business As | THE SHANDY CLINIC |
Entity Type | Organization |
Authorized Contact | REBECCA NEWMAN Billing Manager 719-597-0822 |
Organization Subpart ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist |
Additional Taxonomies | 103K00000X Behavior Analyst |
103T00000X Psychologist | |
225100000X Physical Therapist | |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2020-10-09 |
Last Update Date | 2020-10-09 |