| NPI | 1891006425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY MARIE GWALTNEY Doctor Of Audiologist 605-388-5781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: SD 010A) |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2010-06-29 |