| Ephphatha Tiny Mouth Therapy Llc | |
|
490 W Rolling Meadows Dr Fond Du Lac WI 54937-8624 | |
| (262) 483-6597 | |
| Not Available |
| Full Name | Ephphatha Tiny Mouth Therapy Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 490 W Rolling Meadows Dr, Fond Du Lac, Wisconsin |
| Authorized Official Name and Position | Bridget Schumaker (OWNER) |
| Authorized Official Contact | 2624836597 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ephphatha Tiny Mouth Therapy Llc 9565 Boltonville Rd Kewaskum WI 53040-9730 Ph: () - | Ephphatha Tiny Mouth Therapy Llc 490 W Rolling Meadows Dr Fond Du Lac WI 54937-8624 Ph: (262) 483-6597 |
| NPI Number | 1245922095 |
|---|---|
| Provider Enumeration Date | 05/22/2023 |
| Last Update Date | 05/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245922095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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