| NPI | 1962029462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN DIMARZO LAMBERT Speech Language Pathologist 410-562-0754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2020-06-30 |