NPI | 1285411512 |
---|---|
Entity Type | Organization |
Authorized Contact | KARLA RENAE RETRUM Speech Language Pathologist Owner 715-551-9281 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
Enumeration Date | 2023-09-11 |
Last Update Date | 2023-09-11 |