NPI | 1699096214 |
---|---|
Entity Type | Organization |
Authorized Contact | WENDY BARNT Billing COO Rdinator 870-793-3200 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
Additional Taxonomies | 225100000X Physical Therapist |
225X00000X Occupational Therapist | |
Enumeration Date | 2010-06-17 |
Last Update Date | 2010-06-17 |