NPI | 1982878401 |
---|---|
Entity Type | Organization |
Authorized Contact | RACHELLE OWSLEY RUFFING Owner/Operator 208-587-8255 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: ID SLP1211) |
Enumeration Date | 2008-04-16 |
Last Update Date | 2008-07-10 |