| NPI | 1487529210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER J HENRY Owner 706-741-7192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2025-10-10 |
| Last Update Date | 2025-10-10 |