| NPI | 1073342549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA KULKA Speech Language Pathologist 419-571-5873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2024-09-16 |