| NPI | 1639729460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNFIER ANNETTE BAKER President/Developmental Therapist 606-219-3155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2019-11-04 |