| NPI | 1376381533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOY MARIE MIKHAIL Owner 508-203-1565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2024-07-19 |
| Last Update Date | 2024-07-19 |