| NPI | 1265690150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETE MCCALLA MIS Manager 205-969-2880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 2279) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AL 2731) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2012-10-29 |