| NPI | 1730770108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONISHA C DELUZIO Speech Language Pathologist 267-975-5940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2021-01-28 |