| NPI | 1861901993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABBEY MCMILLAN Billing Administrator 334-734-5511 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2022-07-21 |