Organization
DUNCAN LAKE SPEECH THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMIKO E TESHIMA (OWNER AND SLP)
(616) 528-0870
Entity
Organization
Contact information
Practice address
2450 44TH ST SE STE 201, KENTWOOD, MI 49512-9081
(616) 528-0870
(616) 591-5684
Mailing address
2450 44TH ST SE STE 201, KENTWOOD, MI 49512-9081
(616) 528-0870
(616) 591-5684
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/14/2019
Last updated
05/08/2024
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