| NPI | 1215636295 |
|---|---|
| Doing Business As | PRACTICAL CHILD THERAPY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL RAYMOND SEMONSKY Partner 678-951-4122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2023-02-28 |
| Last Update Date | 2023-02-28 |