| NPI | 1619252814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA SEPE Director 267-978-0571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: PA SL007158) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 225100000X Physical Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2012-05-07 |