NPI | 1609533256 |
---|---|
Entity Type | Organization |
Authorized Contact | HANNAH WALLACE Speech Language Pathologist 812-596-0047 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 103K00000X Behavior Analyst |
225100000X Physical Therapist | |
225X00000X Occupational Therapist | |
2355S0801X Specialist/Technologist, Speech-Language Assistant | |
251E00000X Home Health | |
261QD1600X Clinic/Center, Developmental Disabilities | |
261QH0700X Clinic/Center, Hearing and Speech | |
261QP2000X Clinic/Center, Physical Therapy | |
Enumeration Date | 2021-11-18 |
Last Update Date | 2024-09-12 |