| NPI | 1992062426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER DELANEY Owner 229-300-9365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 225100000X Physical Therapist | |
| Enumeration Date | 2012-04-22 |
| Last Update Date | 2021-12-20 |