| NPI | 1407129430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SVETLANA FEDYUSHKINA Owner/Director 800-966-0535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2019-06-05 |