| NPI | 1831226745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDY ROGERS Owner 917-628-7525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NC 4765) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2024-02-20 |