NPI | 1194525162 |
---|---|
Entity Type | Organization |
Authorized Contact | WHITNEY BOLLE Owner 470-223-8123 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
Additional Taxonomies | 225X00000X Occupational Therapist |
Enumeration Date | 2025-03-18 |
Last Update Date | 2025-03-18 |