Organization
CORAZON SPEECH THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE ONTIVEROS (SPEECH LANGUAGE PATHOLOGIST)
(574) 485-9062
Entity
Organization
Contact information
Practice address
2912 FOXBRIAR PL, INDIANAPOLIS, IN 46203-5801
(574) 485-9062
Mailing address
2912 FOXBRIAR PL, INDIANAPOLIS, IN 46203-5801
(574) 485-9062
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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