NPI | 1780079632 |
---|---|
Entity Type | Organization |
Authorized Contact | TASHA NUNNERY Owner 678-768-3964 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006139) |
Additional Taxonomies | 225X00000X Occupational Therapist |
Enumeration Date | 2015-03-30 |
Last Update Date | 2015-03-30 |