| NPI | 1780952473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY MELLO Speech Language Pathologist 860-729-0851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2022-08-03 |