| NPI | 1871914002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA LYNN BOLE President 515-314-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: IA 471) |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2013-12-13 |