NPI | 1952850083 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA ABAWAG Owner 253-212-3502 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 225X00000X Occupational Therapist |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2016-09-30 |
Last Update Date | 2023-02-08 |