| NPI | 1275955049 |
|---|---|
| Doing Business As | SPARK THERAPY |
| Entity Type | Organization |
| Authorized Contact | JENNY VAIL-STENCEL Speech Language Pathologist 770-353-8939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 0001096) |
| Enumeration Date | 2014-01-14 |
| Last Update Date | 2016-03-25 |