| NPI | 1447591607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON LYNNE KANE Owner/Provider 888-510-6369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: SC 4522) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: SC 4299) |
| 225100000X Physical Therapist (Licence: SC 3969) | |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2020-03-10 |