| NPI | 1750406443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE G BLAKER Owner 215-345-8682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: PA SL000143L) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |