| NPI | 1922693613 |
|---|---|
| Doing Business As | PEDIATRIC SALT CLINIC, LLC |
| Entity Type | Organization |
| Authorized Contact | SALLY MATHEWS Owner/Speech Language Pathologist 478-697-0459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2021-03-04 |