| NPI | 1740594142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLEY A FORD Owner 206-954-1012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00003769) |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2010-07-28 |