| NPI | 1386158178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA ANN RYAN BRUCKER Speech Language Pathologist 303-859-8001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2017-12-01 |
| Last Update Date | 2017-12-01 |