| NPI | 1942863980 |
|---|---|
| Doing Business As | BRAVE WINGS THERAPY |
| Entity Type | Organization |
| Authorized Contact | NAOMI SUTTON Owner 516-476-1260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2019-04-16 |