| NPI | 1386319648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNEMARIE NICHOLS Owner/Slp 765-273-3279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2021-08-10 |