EPHPHATHA TINY MOUTH THERAPY LLC

FOND DU LAC, WI
NPI1245922095
Entity TypeOrganization
Authorized ContactBRIDGET SCHUMAKER
Owner
262-483-6597
Organization Subpart ?No
Primary Taxonomy261Q00000X Clinic/Center
Enumeration Date2023-05-22
Last Update Date2023-05-22
Business Address
EPHPHATHA TINY MOUTH THERAPY LLC
490 W ROLLING MEADOWS DR
FOND DU LAC, WI 54937-8624
Phone number: 262-483-6597
Mailing Address
EPHPHATHA TINY MOUTH THERAPY LLC
9565 BOLTONVILLE RD
KEWASKUM, WI 53040-9730
Phone number: