NPI | 1609576875 |
---|---|
Entity Type | Organization |
Authorized Contact | KERRI-ANN ENGALA AUSTIN DE CASTRO CEO/Speech Language Pathologist 516-312-3513 |
Organization Subpart ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 225X00000X Occupational Therapist |
231H00000X Audiologist | |
261QP2000X Clinic/Center, Physical Therapy | |
Enumeration Date | 2023-03-07 |
Last Update Date | 2023-03-07 |