| NPI | 1578188496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALESHKA MELO Office Maganer 303-419-9554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2020-06-16 |