NPI | 1073042578 |
---|---|
Entity Type | Organization |
Authorized Contact | ALYSSA WOJTYNA Speech Language Pathologist/Owner 920-619-0311 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 4222-154) |
Enumeration Date | 2017-06-08 |
Last Update Date | 2022-07-21 |