NPI | 1780902551 |
---|---|
Doing Business As | THERASYNTHESIS |
Entity Type | Organization |
Authorized Contact | ALLISON J EDWARDS Speech Language Pathologist 719-964-4275 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NM 4088) |
Enumeration Date | 2010-05-04 |
Last Update Date | 2010-05-04 |