| NPI | 1184992554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIMISHA MUTTIAH Speech Language Pathologist 419-575-8034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: PA SL010567) |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |