| NPI | 1851146138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIGITTA ALLEN Owner/Director 702-840-1182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 2251P0200X Physical Therapist Pediatrics | |
| 225XP0200X Occupational Therapist Pediatrics | |
| Enumeration Date | 2024-04-20 |
| Last Update Date | 2024-04-20 |