| NPI | 1598181182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIRMAL K SAMANTA Owner 573-450-3393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MO 2004016682) |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2014-03-06 |