NPI | 1447347067 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBIN MAE MEDEIROS Owner 508-320-0883 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA7026) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT21400) |
225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT11414) | |
Enumeration Date | 2006-10-06 |
Last Update Date | 2025-09-11 |