| NPI | 1962144782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN N HEATOR-DIETSCHE Owner/ Slp 616-300-5495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2022-04-12 |
| Last Update Date | 2024-01-05 |