Individual
SANDRA PACHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
102 NORTH JACKSON, WAYLAND, IA 52654
(615) 896-6400
Mailing address
1047 OSAGE AVE, RICHLAND, IA 52585-8001
(319) 694-3850
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01403
IA
Other
Enumeration date
05/31/2007
Last updated
07/17/2007
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