NPI | 1982909560 |
---|---|
Entity Type | Organization |
Authorized Contact | TARA MCCORMICK Business Owner/Leading Ot 978-681-6605 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MA 727452) |
Enumeration Date | 2011-01-13 |
Last Update Date | 2011-01-13 |