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Ephphatha Tiny Mouth Therapy Llc
Clinic/Center in Fond Du Lac, Wisconsin
NPI 1245922095

Ephphatha Tiny Mouth Therapy Llc is a Clinic/Center based in Kewaskum, WI. Ephphatha Tiny Mouth Therapy Llc practices in Fond Du Lac, WI. The NPI Number for Ephphatha Tiny Mouth Therapy Llc is 1245922095 and holds a License No. (Wisconsin).

The current practice location address for Ephphatha Tiny Mouth Therapy Llc is 490 W Rolling Meadows Dr, Fond Du Lac, WI and can be reached out via phone at 262-483-6597.

Location: 490 W Rolling Meadows Dr, Fond Du Lac, WI, 53040-9730
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245922095
Provider Name
Ephphatha Tiny Mouth Therapy Llc
Credential
Provider Entity Type
Organization
Address
490 W Rolling Meadows Dr, Fond Du Lac, WI, 53040-9730
Phone Number
262-483-6597
Fax Number
Provider Enumeration Date
05/22/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
490 W Rolling Meadows Dr
City
Fond Du Lac
State
Wisconsin
Zip
54937-8624
Phone Number
262-483-6597
Fax Number
person
Provider Business Mailing Address Details
Address
490 W Rolling Meadows Dr
City
Fond Du Lac
State
Wisconsin
Zip
54937-8624
Phone Number
262-483-6597
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
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).
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