| NPI | 1407902414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODI L LARSON Accountant 314-977-0227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 231HA2500X Audiologist Assistive Technology Supplier |
| 237600000X Audiologist-Hearing Aid Fitter | |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2022-09-15 |