| NPI | 1235846874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMARA WALKER Owner 678-889-0803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2022-11-02 |
| Last Update Date | 2023-05-30 |