| NPI | 1639555881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SAMORAJCZYK Billing 475-239-5512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, (Licence: CT 003727) | |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2024-07-31 |