NPI | 1972013977 |
---|---|
Doing Business As | COLUMBA PEDIATRIC THERAPY |
Entity Type | Organization |
Authorized Contact | KENDRA HOLLOWAY Provider 503-567-6326 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 225X00000X Occupational Therapist |
Enumeration Date | 2017-10-04 |
Last Update Date | 2022-05-12 |