| NPI | 1396370102 |
|---|---|
| Doing Business As | THE SHANDY CLINIC- (YMCA) |
| Entity Type | Organization |
| Authorized Contact | REBECCA NEWMAN Billing Manager 719-597-0822 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2020-03-12 |