| NPI | 1639351711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHA MARIE PERSAUD Owner 814-404-3787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225500000X Specialist/Technologist |
| Additional Taxonomies | 103T00000X Psychologist |
| 221700000X Art Therapist | |
| 222Q00000X Developmental Therapist | |
| 225100000X Physical Therapist | |
| 225A00000X Music Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2007-11-30 |