| NPI | 1578024535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA BOHN Speech Language Pathologist 920-495-8288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-03-30 |
| Last Update Date | 2019-06-11 |