| NPI | 1174248033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS DALPONTE Speech Language Pathologist 740-607-9838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2022-10-04 |