NPI | 1578697959 |
---|---|
Doing Business As | INNOVATIVE THERAPY ASSOCIATES, INC. |
Entity Type | Organization |
Authorized Contact | RIK D MIDDLETON Chief Operating Officer 818-783-5168 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CA SP6646) |
Enumeration Date | 2007-03-15 |
Last Update Date | 2020-08-22 |