Moscow Charter School
NPI #1669734042 in Moscow, Idaho
Provider Information
- NPI Number
- 1669734042
- Entity Type
- Organization
- Organization Name
- Moscow Charter School
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Jun 12, 2012
- Last Updated
- Jun 12, 2012
Practice Location
Authorized Official
- Name
- SHARON LYNN DUNN
- Title
- BUSINESS MANAGER
- Phone
- (208) 883-3195
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist - Pediatrics — Pediatrics |
| Speech-Language Pathologist |
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