| NPI | 1568760999 |
|---|---|
| Doing Business As | SUNSHINE PEDIATRIC THERAPY |
| Entity Type | Organization |
| Authorized Contact | AUDREY MALLOY President/Slp 318-855-3150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: LA 3812) |
| Additional Taxonomies | 174400000X Specialist (Licence: LA Z12261) |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2011-03-09 |