NPI | 1801173133 |
---|---|
Entity Type | Organization |
Authorized Contact | BARBARA J PERSHING Office Manager 765-644-0506 |
Organization Subpart ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: IN 23002500A) |
Enumeration Date | 2011-11-15 |
Last Update Date | 2011-11-15 |