| NPI | 1841169117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KALI HEIMBACH Coowner 267-597-1029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 225100000X Physical Therapist | |
| Enumeration Date | 2025-11-04 |
| Last Update Date | 2025-11-11 |