| NPI | 1154169068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN PULDA Speech Language Pathologist 309-712-1089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-07-16 |
| Last Update Date | 2024-07-16 |