| NPI | 1598518326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY TRICK Speech Language Pathologist 937-417-0680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-04-10 |
| Last Update Date | 2024-04-10 |