| NPI | 1477795912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIZZA MIRO Owner 856-383-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: NJ 41YS00465000) |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2009-03-30 |