| NPI | 1770163248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL DAWN JOHNSON Speech Language Pathologist 715-571-8674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-04-09 |
| Last Update Date | 2021-04-09 |