| NPI | 1962758789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE A ORTEGA President, Speech Language Patholog 908-754-0904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: NJ 41YS00238400) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00188700) |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2014-11-25 |