NPI | 1306190830 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTIN L FISK Owner/Therapist 970-689-3333 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CO 12111845) |
Enumeration Date | 2012-11-06 |
Last Update Date | 2012-11-06 |