| NPI | 1467060459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SAMORAJCZYK Billing/Office 475-239-5512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2020-08-12 |