| NPI | 1124632617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ROBERT Accounting Clerk 401-490-7610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2023-08-09 |