| NPI | 1124578737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA RUTH Office Manager 989-269-7666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: MI 7101000089) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2022-12-14 |