| NPI | 1033426796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE R MCCLURE FLOYD Speech Language Pathologist 706-310-9241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP005228) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2010-09-01 |