| NPI | 1528746724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY RUDY Finance Analyst 603-471-2522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2023-07-07 |
| Last Update Date | 2023-07-07 |