| NPI | 1013277318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE A WELLS Owner 321-241-4816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA10305) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2013-12-10 |