NPI | 1609674860 |
---|---|
Entity Type | Organization |
Authorized Contact | BRITTANY MEARS Credentialing 866-287-2036 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 225X00000X Occupational Therapist |
Enumeration Date | 2025-03-04 |
Last Update Date | 2025-03-05 |