| NPI | 1962774489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELEANOR MARTINO Owner 540-220-7501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202004561) |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2012-01-30 |