| NPI | 1205370681 |
|---|---|
| Other Name | SYDNEY GRISWOLD |
| Entity Type | Organization |
| Authorized Contact | SYDNEY GRISWOLD Incorporator/Organizer 870-688-6140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR SP#3747) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AR AR2149) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2016-12-05 |