| NPI | 1942749569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER D KEENE Speech/Language Pathologist 540-609-4130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: VA 17578) |
| Enumeration Date | 2017-02-15 |
| Last Update Date | 2017-02-15 |