NPI | 1487823258 |
---|---|
Doing Business As | GRACE AND GLORY THERAPY |
Entity Type | Organization |
Authorized Contact | WENDI RICHARDSON Speech Language Pathologist 318-381-5893 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 225100000X Physical Therapist |
225X00000X Occupational Therapist | |
Enumeration Date | 2008-02-26 |
Last Update Date | 2022-03-08 |