NPI | 1508310459 |
---|---|
Entity Type | Organization |
Authorized Contact | ASHLI J SELF President/Speech Language Path. 815-403-0485 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 225X00000X Occupational Therapist |
Enumeration Date | 2016-08-09 |
Last Update Date | 2023-09-15 |