| NPI | 1275250508 |
|---|---|
| Doing Business As | FUNCTIONAL COGNITIVE REHAB |
| Entity Type | Organization |
| Authorized Contact | TYLER KING Owner 209-585-6299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-10-26 |
| Last Update Date | 2024-06-17 |