Organization
INDEPENDENCE SPEECH THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOBY LEE THIELGES PT (PRESIDENT)
(701) 883-5464
Entity
Organization
Contact information
Practice address
7274 108TH AVE SE, LAMOURE, ND 58458-9409
(701) 883-5464
(701) 883-5464
Mailing address
7274 108TH AVE SE, LAMOURE, ND 58458-9409
(701) 883-5464
(701) 883-5464
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1271
ND
Other
Enumeration date
06/18/2014
Last updated
06/18/2014
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