ADVANCED DYSPHAGIA DIAGNOSTICS LLC

SHIPPENVILLE, PA
NPI1891339156
Entity TypeOrganization
Authorized ContactKIMBERLY A GEMMELL
Owner
909-213-5967
Organization Subpart ?No
Primary Taxonomy235Z00000X Speech-Language Pathologist,
Enumeration Date2019-10-30
Last Update Date2019-10-30
Business Address
ADVANCED DYSPHAGIA DIAGNOSTICS LLC
206 MAIN ST
SHIPPENVILLE, PA 16254-3906
Phone number: 909-213-5967
Mailing Address
ADVANCED DYSPHAGIA DIAGNOSTICS LLC
2233 E MAIN ST
MONTROSE, CO 81401-3831
Phone number: 970-765-0818
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