NPI | 1891167466 |
---|---|
Doing Business As | PUSH PEDIATRIC SPEECH THERAPY |
Entity Type | Organization |
Authorized Contact | KAYLA FONTENOT Owner 469-458-7764 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: TX 108320) |
Enumeration Date | 2015-10-22 |
Last Update Date | 2020-09-23 |