| NPI | 1316464423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTLE NICOLE OWEN Slp 501-209-4026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR SP3045) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2017-08-29 |