| NPI | 1861743478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI KOFFLER Chairman 646-558-0071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2012-09-21 |
| Last Update Date | 2012-10-03 |