| NPI | 1538411715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA A CLARK Owner 781-269-2323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 7918) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MA 6919) |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2012-10-11 |