| NPI | 1043755382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBEKAH DONNELLY Audiologist/Owner 618-594-4966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: IL 147000882) |
| Enumeration Date | 2016-12-22 |
| Last Update Date | 2018-10-10 |