NPI | 1205468733 |
---|---|
Former Legal Business Name | MELISSA TOLMAN M.S. CCC-SLP |
Entity Type | Organization |
Authorized Contact | MELISSA GROSVENOR Owner 847-345-3384 |
Organization Subpart ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist |
Additional Taxonomies | 101Y00000X Counselor |
104100000X Social Worker | |
225100000X Physical Therapist | |
225XP0200X Occupational Therapist, Pediatrics | |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2020-02-12 |
Last Update Date | 2020-02-12 |