| NPI | 1588037550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELISABETH KRUPIT Owner 678-644-0819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| Enumeration Date | 2015-11-12 |
| Last Update Date | 2018-06-06 |