Provider First Line Business Practice Location Address:
15 SOUTHMOOR CIRCLE NE
Provider Second Line Business Practice Location Address:
AUDIOLOGY & SPEECH ASSOCIATES
Provider Business Practice Location Address City Name:
DAYTON
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45429
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
513-779-6872
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/14/2008