| NPI | 1538837794 |
|---|---|
| Doing Business As | THE SHANDY CLINIC |
| Entity Type | Organization |
| Authorized Contact | TANNER DENN Credentialing Manager 719-428-1840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 103T00000X Psychologist | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2021-09-02 |
| Last Update Date | 2021-09-02 |