| NPI | 1184386898 |
|---|---|
| Doing Business As | AUGUSTA SPEECH THERAPY |
| Entity Type | Organization |
| Authorized Contact | OLUSOLA OLUWANDE Speech Language Pathologist 847-814-7025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2021-10-10 |
| Last Update Date | 2024-06-12 |