| NPI | 1962734293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA L ROSE Owner 719-659-5856 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CO 0461289) |
| Enumeration Date | 2010-02-11 |
| Last Update Date | 2016-02-29 |