NPI | 1790045797 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURA DUMAS Speech Pathologist 802-558-3608 |
Organization Subpart ? | No |
Primary Taxonomy | 273Y00000X Rehabilitation Unit (Licence: MA SLP 7965) |
Enumeration Date | 2012-05-23 |
Last Update Date | 2012-05-23 |