| NPI | 1538563994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLENE WELTON BALLEW Audiologist/President 239-462-4021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: FL AY1221) |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2015-05-21 |