| NPI | 1487328498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLY O'CONNOR Speech Language Pathologist 267-603-3435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2021-08-03 |
| Last Update Date | 2021-08-03 |