| NPI | 1548048796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISAMAR LORENZO LORENZO President 939-235-0543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2023-09-19 |
| Last Update Date | 2023-09-19 |