| 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 |