| NPI | 1194121855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TABITHA JEAN REUTER Director 712-266-6865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IA 001887) |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2014-11-10 |