| NPI | 1003869579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN STEVEN ROSE Owner 850-893-8743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA1187) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2020-08-22 |