| NPI | 1699178566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARINA BILBAO CANUP Speech Language Pathologist 706-372-4349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2014-10-06 |