| NPI | 1982373080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCHYLER FUJIMOTO Speech Language Pathologist 520-309-5052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-09-10 |
| Last Update Date | 2021-09-10 |