NPI | 1629552674 |
---|---|
Entity Type | Organization |
Authorized Contact | LEENA HOSLER Provider/Owner 248-214-7755 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 103T00000X Psychologist |
225X00000X Occupational Therapist | |
Enumeration Date | 2018-09-16 |
Last Update Date | 2018-09-16 |