| NPI | 1891965513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER P HEISTAND Owner 360-786-1753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL00003377) |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2008-03-10 |