| NPI | 1902038391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J PICKENS Manager Of Finance 614-973-9755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP.7127) |
| Enumeration Date | 2009-08-18 |
| Last Update Date | 2011-08-04 |