| NPI | 1801278957 |
|---|---|
| Doing Business As | EASTERSEALS REDWOOD |
| Entity Type | Organization |
| Authorized Contact | PAM GREEN CEO 859-331-0880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2022-11-17 |