| NPI | 1912578980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA RUTH Office Manager 989-975-1965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2021-07-09 |
| Last Update Date | 2021-07-09 |