| NPI | 1679767628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF SCHUSTER Owner 862-219-5678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 133V00000X Dietitian, Registered | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2007-09-04 |