The Colorful Spot Pediatric Therapy LLC
NPI #1316723018 in Maineville, Ohio
Provider Information
- NPI Number
- 1316723018
- Entity Type
- Organization
- Organization Name
- The Colorful Spot Pediatric Therapy LLC
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Sep 7, 2023
- Last Updated
- Sep 7, 2023
Practice Location
- Address
- 4906 WHISPERING CREEK CT
- City
- Maineville
- State
- Ohio
- ZIP Code
- 45039-2503
- Phone
- (920) 857-7925
Authorized Official
- Name
- SARAH CHRISTINE WIKUM, M.A., CCC-SLP
- Title
- OWNER/SPEECH PATHOLOGIST
- Phone
- (920) 857-7925
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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