NPI | 1316372659 |
---|---|
Doing Business As | MOTOR MOUTH THERAPY SERVICES |
Entity Type | Organization |
Authorized Contact | AMANDA P GOMEZ Owner/Director 678-820-9606 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA 006456) |
Additional Taxonomies | 225X00000X Occupational Therapist |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2013-09-05 |
Last Update Date | 2022-04-21 |