| 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 |