| NPI | 1346867579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA ANNA BRANDON Speech Language Pathologist Owner 631-796-8224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2020-07-03 |
| Last Update Date | 2022-09-01 |