| NPI | 1578775375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM CARROLL Speech Language Pathologist 603-893-8550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2013-08-30 |