| NPI | 1780898106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROB ZIGENFUS Manager Of Contract 901-685-7227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IL 146008905) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |