| NPI | 1689126237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMARA SHALOM Owner 410-394-8794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MD 08011) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2023-03-22 |