| NPI | 1952097396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN MAURA MULLIGAN Owner 386-986-8920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2023-04-17 |
| Last Update Date | 2024-05-30 |