| NPI | 1447982442 |
|---|---|
| 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 |