| NPI | 1346520798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY STAFFORD Co Owner 603-870-0078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2011-08-17 |