Individual
EMILY RAE KOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ST
Contact information
Practice address
121 BROCKWAY AVE, OSHKOSH, WI 54902-6943
(210) 542-1711
Mailing address
121 BROCKWAY AVE, OSHKOSH, WI 54902-6943
(210) 542-1711
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
103918
TX
235Z00000X
Speech-Language Pathologist
Primary
—
WI
Other
Enumeration date
05/10/2012
Last updated
03/26/2026
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