| NPI | 1619710456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHAEL QUICQUARO Speech Language Pathologist 860-485-3047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2024-06-18 |
| Last Update Date | 2024-06-18 |