| NPI | 1013635358 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER TRAVIESO Speech Language Pathologist 305-440-0785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2022-08-22 |
| Last Update Date | 2022-08-22 |