| NPI | 1932610854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACLYN G POLAKOFF Speech Language Pathologist 856-495-6581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: PA PT018012) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: PA SL011551) |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2017-10-18 |