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Organization
THE MAGIC SPEECH BUS LLC
Active
Organization
THE MAGIC SPEECH BUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTIN PARK MS, CCC-SLP (OWNER)
(484) 366-1716
Entity
Organization
Contact information
Practice address
4 BROOKVIEW DR, BOYERTOWN, PA 19512-8667
(484) 366-1716
Mailing address
4 BROOKVIEW DR, BOYERTOWN, PA 19512-8667
(484) 366-1716
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/02/2023
Last updated
03/02/2023
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