| NPI | 1396470431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA WEBB Owner/Operator 662-292-1024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2022-07-21 |
| Last Update Date | 2024-05-15 |