| NPI | 1205114436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YUTTA WEISS Owner 732-363-7937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2012-10-15 |