Independence Speech Therapy INC
NPI #1023422946 in Lamoure, North Dakota
Provider Information
- NPI Number
- 1023422946
- Entity Type
- Organization
- Organization Name
- Independence Speech Therapy INC
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Jun 18, 2014
- Last Updated
- Jun 18, 2014
Practice Location
- Address
- 7274 108TH AVE SE
- City
- Lamoure
- State
- North Dakota
- ZIP Code
- 58458-9409
- Phone
- (701) 883-5464
Authorized Official
- Name
- MR. TOBY LEE THIELGES, PT
- Title
- PRESIDENT
- Phone
- (701) 883-5464
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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