| NPI | 1811750235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BREANNA ADELMAN Speech Language Pathologist 320-200-2577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2024-01-31 |