| NPI | 1891313094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE ANN DONNELLY Slp/Owner 269-235-9821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2022-01-24 |