| NPI | 1194155432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA B. TIBBETTS-OSSO Speech Language Pathologist 540-809-0661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202002820) |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2013-11-22 |