Most Relevant Information
Provider Data
| NPI Number: | 1003016445 |
| Provider Name: | PATRICIA LYNN MORIN BOLE SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 00471 |
Most Important Dates
| Enumeration Date: | 07/24/2007 |
| Last Updated: | 11/26/2008 |
Provider Practice Location
402 10TH ST SE
SUITE 700
CEDAR RAPIDS
IA
524032403
Practice Location Phone/Fax
| Phone: | 3193659439 |
| Fax: | 3193659368 |
Provider Mailing Location
205 W WACKER DR
SUITE 1020
CHICAGO
IL
606061216
Provider Mailing Phone/Fax
| Phone: | 3126400329 |
| Fax: |