| NPI | 1649788506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE LYNN HEFFEL Owner 256-694-0427 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL SP1082) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH6149) |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2018-06-21 |