| NPI | 1386235158 |
|---|---|
| Doing Business As | STORK TO FORK PEDIATRIC THERAPY |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE TOLLEY Speech Language Pathologist/Owner 251-689-1662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2024-11-09 |