| NPI | 1275904286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM BANSON SABOURIN Speech Language Pathologist 215-310-8033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL008039) |
| Enumeration Date | 2015-10-16 |
| Last Update Date | 2015-10-16 |