| NPI | 1346006459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE BROUWER Owner Manager 605-670-9639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 231H00000X Audiologist |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-02-26 |