| NPI | 1407077688 |
|---|---|
| Former Name | KERI ANNE BORDELON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AR SP2570) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: LA 4709) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2021-03-29 |