| NPI | 1518139120 |
|---|---|
| Former Legal Business Name | SPEECH PLACE |
| Entity Type | Organization |
| Authorized Contact | NANCY J PETERSON Owner 218-333-1571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: MN 7693) |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2011-05-24 |