Organization
AB DIRECT THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY BROADWATER CCC-SLP (SPEECH LANGUAGE PATHOLOGIST/OWNER)
(814) 792-5501
Entity
Organization
Contact information
Practice address
396 WALKER RD, BUFFALO MILLS, PA 15534-1703
(814) 792-5501
Mailing address
396 WALKER RD, BUFFALO MILLS, PA 15534-1703
(814) 792-5501
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
07/09/2022
Last updated
07/09/2022
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