Ruby Isaly

NPI #1982018867 in Driggs, Idaho

Provider Information

NPI Number: 1982018867
Entity Type: Individual
Name: Ruby Isaly
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Speech-Language Pathologist
Enumeration Date: Jun 18, 2014
Last Updated: Jun 18, 2014

Practice Location

Address: 560 E HOWARD AVENUE
City: Driggs
State: Idaho
ZIP Code: 83422
Phone: (406) 220-9075

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Speech-Language Pathologist	235Z00000X	Primary

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