NPI | 1386001972 |
---|---|
Doing Business As | LIFESPAN THERAPEUTIC SERVICES |
Entity Type | Organization |
Authorized Contact | MARIANNE O'BRIEN Speech Language Pathologist 424-201-1631 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA 4849) |
Enumeration Date | 2016-01-27 |
Last Update Date | 2016-01-27 |