| NPI | 1164203022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA BOLLINGER Owner, Rendering Provider. 970-620-0698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-10-06 |
| Last Update Date | 2023-10-06 |