NPI | 1447982442 |
---|---|
Former Legal Business Name | BRYAN LEE GALI ADMTHERAPY CLINIS |
Entity Type | Organization |
Authorized Contact | ISIS SANDOVAL COLON Owner 939-250-4285 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant |
Enumeration Date | 2022-06-28 |
Last Update Date | 2022-06-28 |