| NPI | 1679039770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA K TOPALOV Owner 331-229-8839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 2251P0200X Physical Therapist, Pediatrics | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2019-02-13 |