| NPI | 1063109734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE M FULTON Owner/Lead Therapist 309-204-4961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2023-04-21 |
| Last Update Date | 2023-05-02 |