| NPI | 1831553106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIKKI L DEGROVE Speech Language Pathologist 719-999-8417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: CO SLP.0000572) |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2016-09-08 |