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 |