NPI | 1689892507 |
---|---|
Doing Business As | KIDZ ZONE PEDIATRIC SPEECH THERAPY |
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 |