| NPI | 1710502851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL N MOSS Speech Language Pathologist 615-210-4173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2020-06-15 |