Provider First Line Business Practice Location Address:
800 RIVERSIDE DRIVE DR. 902 BUILDING
Provider Second Line Business Practice Location Address:
SPEECH THERAPY
Provider Business Practice Location Address City Name:
WAUPACA
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
54981
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
920-750-9885
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/30/2019