NPI | 1265553382 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL JAMES STACHELSKI Owner/Operator 360-303-9130 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00003914) |
Enumeration Date | 2007-04-03 |
Last Update Date | 2008-08-26 |