| NPI | 1861117095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OCTAVIA E CHERRY Speech Language Pathologist 414-213-6601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-10-10 |
| Last Update Date | 2022-10-25 |