| NPI | 1457992893 |
|---|---|
| Doing Business As | SPARK THERAPY COLLECTIVE |
| Entity Type | Organization |
| Authorized Contact | LESLIE BENNETT Owner 818-217-0460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2022-10-13 |