| 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 |