NPI | 1336038066 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAVONICA WILLIAMS Owner 770-733-5585 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
Additional Taxonomies | 225100000X Physical Therapist |
225X00000X Occupational Therapist | |
251E00000X Home Health | |
Enumeration Date | 2025-06-30 |
Last Update Date | 2025-06-30 |