Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Children |
283XC2000X |
| NPI # | 1306104070 |
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| LBN Legal business name | THE CENTER FOR ADVANCED THERAPY | ||||
| Authorized official | BRANTLEY THOMPSON - (SPEECH-LANGUAGE PATHOLOGIST) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 05/01/2012 | ||||
| Last updated | 05/01/2012 - About 14 years ago | ||||
| Identifiers |
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