| NPI | 1649624354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE SOUZA-PAGE Co Owner 732-788-3502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00488000) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR000419500) |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2021-11-29 |