Organization · Type 2 NPI
Ephphatha Tiny Mouth Therapy LLC
Clinic/Center · Fond Du Lac, WI
NPI number
1245922095
Active
Practice location
490 W Rolling Meadows Dr
Fond Du Lac, WI 54937-8624
Mailing address
9565 Boltonville Rd
Kewaskum, WI 53040-9730
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Other clinic/center providers in Fond Du Lac
About NPI 1245922095
Ephphatha Tiny Mouth Therapy LLC's National Provider Identifier is 1245922095, issued on May 22, 2023. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Fond Du Lac, WI. The record was last updated on May 22, 2023.