NPI | 1942059431 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA SHAYNE RUIZ-LEE Owner 702-265-8436 |
Organization Subpart ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 225100000X Physical Therapist |
225X00000X Occupational Therapist | |
2355S0801X Specialist/Technologist, Speech-Language Assistant | |
Enumeration Date | 2024-05-16 |
Last Update Date | 2025-08-12 |