NPI | 1255833778 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIE CHRISTINE FOSTER Provider/Owner 479-970-1302 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR 2370) |
Enumeration Date | 2018-02-28 |
Last Update Date | 2018-08-16 |