| NPI | 1720577836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA BOEHMER Speech Language Pathologist 740-503-7431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2018-05-03 |