| NPI | 1689354250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA SANFELIPPO Speech Language Pathologist 414-522-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2024-12-28 |