| NPI | 1124816681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILTON BRET MIXON Speech Language Pathologist 970-812-3828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2025-04-25 |
| Last Update Date | 2025-04-25 |