| NPI | 1720187115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM H CORNELIUS President 256-844-2992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AL 1404) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL 17240) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2015-02-03 |