| NPI | 1720481559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA WESS Owner/Manager 603-232-5922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2016-11-30 |