Organization
OVER THE MOON SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HILLARY ERP (OWNER)
(859) 317-1838
Entity
Organization
Contact information
Practice address
4402 FONTAINE DR, ROANOKE, VA 24018-2913
(859) 317-1838
Mailing address
4402 FONTAINE DR, ROANOKE, VA 24018-2913
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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