| NPI | 1003688540 |
|---|---|
| Doing Business As | PEREGRINE THERAPY |
| Entity Type | Organization |
| Authorized Contact | DANIEL MILLER Owner, Speech Language Pathologist 765-476-3108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-10-27 |
| Last Update Date | 2023-10-27 |