Ephphatha Tiny Mouth Therapy LLC
NPI #1245922095 in Fond Du Lac, Wisconsin
Provider Information
- NPI Number
- 1245922095
- Entity Type
- Organization
- Organization Name
- Ephphatha Tiny Mouth Therapy LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- May 22, 2023
- Last Updated
- May 22, 2023
Practice Location
- Address
- 490 W ROLLING MEADOWS DR
- City
- Fond Du Lac
- State
- Wisconsin
- ZIP Code
- 54937-8624
- Phone
- (262) 483-6597
Authorized Official
- Name
- BRIDGET SCHUMAKER, CCC-SLP
- Title
- OWNER
- Phone
- (262) 483-6597
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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