| NPI | 1124211214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVA MARIE RIECK Speech Language Pathologist 937-339-3484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OH SP3169) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2007-08-22 |