| NPI | 1598962805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEN HENRY Medical Director, Ent Neonatal 703-536-1666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: VA 2201000526) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2020-08-22 |