| Grace Etrel Boutin, | |
|
455 Fox Trl, Omro, WI 54963-1198 | |
| (920) 303-2334 | |
| Not Available |
| Full Name | Grace Etrel Boutin |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 455 Fox Trl, Omro, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528998226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Etrel Boutin, 455 Fox Trl, Omro, WI 54963-1198 Ph: () - | Grace Etrel Boutin, 455 Fox Trl, Omro, WI 54963-1198 Ph: (920) 303-2334 |
Emily Josephine Bulow, MS CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 500 Grant Ave, Omro, WI 54963 Phone: 920-685-2755 | |
Robert Ihssen, M.S, CCC-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 500 Grant Ave, Omro, WI 54963 Phone: 920-685-2755 | |
Rachel L Mcinnis, MS/CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 500 Grant Ave, Omro, WI 54963 Phone: 920-246-5076 | |
Mrs. Kimberly Rae Bartley, MS CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 500 S. Grant Avenue, Omro, WI 54963 Phone: 920-685-2755 | |
Anita Lee-bjerke, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 500 Grant Ave, Omro, WI 54963 Phone: 920-859-0269 Fax: 920-859-0279 |