| NPI | 1952099715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE DONNELLY Co President 269-235-9821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2023-04-28 |
| Last Update Date | 2024-10-03 |