| NPI | 1134140619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINDY K BRUDERECK Managing Member/Owner/Audiologist 610-286-1999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: PA AT005180) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2018-03-28 |