| NPI | 1306488630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE ELLINPORT Chief Operating Officer 301-799-3304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2024-07-31 |