Organization
SUNFLOWER SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATIE L PROVORSE (OWNER)
(719) 207-1054
Entity
Organization
Contact information
Practice address
10335 PIUTE DR, SALIDA, CO 81201-8515
(719) 207-1054
Mailing address
10335 PIUTE DR, SALIDA, CO 81201-8515
(719) 207-1054
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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