| NPI | 1568798544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANDRA L. DEMES Member 330-550-3003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP9491) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2023-11-07 |