| NPI | 1386667822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR BOSTWICK President/CEO 423-320-3834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: TN 1313) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: GA AUD003693) |
| 235Z00000X Speech-Language Pathologist, | |
| 235Z00000X Speech-Language Pathologist, (Licence: TN SP0000000667) | |
| 235Z00000X Speech-Language Pathologist, (Licence: GA SLP001410) | |
| 237600000X Audiologist-Hearing Aid Fitter | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2021-04-08 |