| NPI | 1811411721 |
|---|---|
| Doing Business As | ROCK STAR THERAPY |
| Entity Type | Organization |
| Authorized Contact | SUZANNE DAILEY Speech Language Pathologist 434-260-1553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2017-08-01 |