| NPI | 1871293308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BREANNA BOBBIT Owner 316-619-9549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2023-03-03 |
| Last Update Date | 2025-08-29 |