| NPI | 1366913527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON SAKS Manager 570-815-2829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics |
| Additional Taxonomies | 261QH0700X Clinic/Center Hearing and Speech |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |