| NPI | 1629893086 |
|---|---|
| Doing Business As | BERRY BLOSSOMS SPEECH & LANGUAGE THERAPY |
| Entity Type | Organization |
| Authorized Contact | ABIGAIL M AVERY Speech Language Pathologist 989-573-3109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-11-20 |
| Last Update Date | 2024-11-20 |