| NPI | 1689892507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M. MARSHALL Speech Language Pathologist 423-254-1978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics |
| 2251P0200X Physical Therapist Pediatrics | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2014-02-03 |