Tosa Speech Language Pathology Llc

NPI 1205260049 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1205260049
Enumeration Date 08/28/2013
Last Updated 08/28/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name JORDAN JORDAN
Position OWNER
Phone (414) 807-7512
Fax
Practice Location
1354 N 65TH ST
WAUWATOSA WI, 53213-2972, US
Phone (414) 807-7512
Fax
Business Location
1354 N 65TH ST
WAUWATOSA WI, 53213-2972, US
Phone (414) 807-7512
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Wisconsin
License Number 3132-154
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According to our database, Tosa Speech Language Pathology Llc NPI is 1205260049, taxonomy code is 235Z00000X and license number is 3132-154, license state is located at Wisconsin. Tosa Speech Language Pathology Llc physically located at 1354 N 65th St, Wauwatosa WI, 53213-2972. NPI Number 1033115704 has the healthcare provider type.

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1205260049 NPI number is provided on an as is basis without warranty of any kind. 1205260049 is maintained by the National Plan & Provider Enumeration System. The contents of Tosa Speech Language Pathology Llc are for informational purposes only.