| NPI | 1932501558 |
|---|---|
| Doing Business As | CENTER FOR OROFACIAL MYOLOGY |
| Entity Type | Organization |
| Authorized Contact | RIAN NOEL CHATTERTON Owner 208-793-7006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: ID SLP-1312) |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2025-04-30 |