| NPI | 1982409793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY PATRICK LIDDY Owner 314-974-1811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter |
| Enumeration Date | 2025-02-17 |
| Last Update Date | 2025-02-17 |