| NPI | 1568242394 |
|---|---|
| Former Legal Business Name | DIEGO THERAPY GROUP LLC |
| Entity Type | Organization |
| Authorized Contact | DAISY A SANDERS NEVAREZ President 939-625-7214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-09-29 |
| Last Update Date | 2023-09-29 |