NPI | 1508059221 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROLYN JEAN SYRON Owner 703-941-7757 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202003585) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119000884) |
Enumeration Date | 2007-08-27 |
Last Update Date | 2007-10-27 |