| NPI | 1417766189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAYNA KASEL NOWICKI Owner 336-408-5970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2025-01-06 |
| Last Update Date | 2025-01-06 |