| NPI | 1639902208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY SIMMONS Speech Language Pathologist 937-583-1833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-08-20 |
| Last Update Date | 2024-09-12 |