| NPI | 1982261269 |
|---|---|
| Doing Business As | ETS |
| Entity Type | Organization |
| Authorized Contact | SUSAN LEE Speech Pathologist/Owner 765-621-3472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2019-05-22 |