| NPI | 1326299355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLEN OWEN SALLOWS Owner/Director 608-288-9040 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 2800-154) |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2008-10-08 |