| NPI | 1770232811 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORI PENNUCCI Speech Language Pathologist 423-212-3853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2024-05-20 |