| NPI | 1881081669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANN FUJIMOTO Speech Language Pathologist 262-354-0215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WI 2979-154) |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2015-04-20 |