| NPI | 1609963545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA E WOLOSIANSKY Director Speech Language Patholog 330-896-9119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2020-06-10 |