NPI | 1427346436 |
---|---|
Entity Type | Organization |
Authorized Contact | THEOFANIS PANTAZIS President 323-313-4778 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006935) |
Enumeration Date | 2011-07-12 |
Last Update Date | 2011-07-12 |