Organization
GROW WITH ME PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BAILEY FULMER M.S., CCC-SLP (OWNER)
(402) 885-9429
Entity
Organization
Contact information
Practice address
420 CRESCENT DR, CRESCENT, IA 51526-3607
(402) 885-9429
Mailing address
420 CRESCENT DR, CRESCENT, IA 51526-3607
(402) 885-9429
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/07/2021
Last updated
05/02/2023
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