| NPI | 1326617333 |
|---|---|
| Doing Business As | PHOENIX SWALLOWING DIAGNOSTICS |
| Entity Type | Organization |
| Authorized Contact | GINEEN MAGIERA Owner 920-374-3946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2021-12-29 |