| NPI | 1235590506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COOK CANDICE Administrator 888-507-1113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2020-12-04 |