| NPI | 1972916534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REX GARDNER Managing Partner 202-739-1380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: VA 2202005377) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2014-06-11 |