| NPI | 1619419694 |
|---|---|
| Doing Business As | THERAPY NOOK PC |
| Entity Type | Organization |
| Authorized Contact | MILLICENT SMITH PORTER Owner 601-757-0766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MS 12159923) |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |