| NPI | 1417603382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDE HAWKINS Manager 340-277-5076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 261QX0100X Clinic/Center, Occupational Medicine |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2022-03-05 |