| NPI | 1720978760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA KEARE Speech Language Pathologist 608-347-2725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2025-07-09 |
| Last Update Date | 2025-07-09 |