| NPI | 1104436740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL VAN OORT Speech Language Pathologist 605-215-1753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2020-08-07 |