| NPI | 1639436793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE M BRIDGES Speech Language Patholigist 517-290-5586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2012-08-28 |