| NPI | 1689009391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACIE FOX Owner 540-446-2654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 261QX0100X Clinic/Center, Occupational Medicine |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2013-12-30 |