Most Relevant Information
Provider Data
| NPI Number: | 1003489360 |
| Provider Name: | KATHERINE ROSE IMIG |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 109486 |
Most Important Dates
| Enumeration Date: | 07/22/2021 |
| Last Updated: | 07/22/2021 |
Provider Practice Location
2301 EASTERN AVE
RED OAK
IA
515661300
Practice Location Phone/Fax
| Phone: | 7126237000 |
| Fax: |
Provider Mailing Location
2301 EASTERN AVE
RED OAK
IA
515661305
Provider Mailing Phone/Fax
| Phone: | 7126237000 |
| Fax: |