Organization Name: | ROCK THERAPEUTIC SERVICES LLC |
NPI Number: | 1750667713 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ADRIENNE ROCK (CCC-SPEECH-LANGUAGE PATHOLOGIST) |
Mailing Address: | 22443 Se 240th St B101 Maple Valley |
State: | WA US |
Postal Code: | 98038 |
Phone Number: | 4253587160 |
Fax Number: | 4253587159 |
NPI Enumeration Date: | 10/21/2011 |
NPI Last Update Date: | 08/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |