OrganizationActive
Ag Therapy LLC
NPI 1417733007 · Speech-Language Pathologist · Oconomowoc, WI
Provider details
- NPI number
- 1417733007
- Entity type
- Organization
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Organization subpart
- No
- Authorized official
- Angela Giangiulio, Owner(219) 798-6189
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
405 E Forest St
Oconomowoc, WI 53066-3707
Phone: (219) 798-6189
Approximate (ZIP-level) locationGet directions
Mailing address
405 E Forest St
Oconomowoc, WI 53066-3707
Registry dates
- Enumerated
- 2023-09-07
- Last updated
- 2023-09-07
- Certified
- 2023-09-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.