| NPI | 1821558818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA M. TALAVERA Owner/Business Operator/Provider 301-580-5964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2019-03-25 |