| NPI | 1982314951 |
|---|---|
| Doing Business As | PRNW |
| Entity Type | Organization |
| Authorized Contact | KYLE DAVEY CEO 209-769-2039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2022-12-01 |
| Last Update Date | 2022-12-01 |