BLOOMINGTON-NORMAL SPEECH THERAPY LLC

BLOOMINGTON, IL
NPI1336745892
Entity TypeOrganization
Authorized ContactBASHA M ONTIVEROS
Owner
309-830-5925
Organization Subpart ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Enumeration Date2020-12-09
Last Update Date2020-12-09
Business Address
BLOOMINGTON-NORMAL SPEECH THERAPY LLC
2416 E WASHINGTON ST STE C5
BLOOMINGTON, IL 61704-1629
Phone number: 309-830-5925
Mailing Address
BLOOMINGTON-NORMAL SPEECH THERAPY LLC
2416 E WASHINGTON ST STE C5
BLOOMINGTON, IL 61704-1629
Phone number: 309-830-5925