NPI | 1326418310 |
---|---|
Doing Business As | CIRCLE CREEK THERAPY |
Entity Type | Organization |
Authorized Contact | COURTNI D DOHERTY Owner 253-237-3405 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60578339) |
Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech (Licence: WA 603544948) |
Enumeration Date | 2015-10-02 |
Last Update Date | 2018-04-26 |