| NPI | 1427668227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VONDA CRISWELL Speech Language Pathologist/Owner 980-288-6225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 376K00000X Nurse's Aide |
| 376J00000X Homemaker | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-09-24 |