| NPI | 1285136622 |
|---|---|
| Doing Business As | OLIVE BRANCH THERAPY |
| Entity Type | Organization |
| Authorized Contact | SHAWNA MARIE NICKERSON Speech Language Pathologist 770-630-6753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center Hearing and Speech (Licence: TX 108185) |
| Enumeration Date | 2018-03-01 |
| Last Update Date | 2019-03-08 |