| NPI | 1033522552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN PAIGE LEONARD Director 904-710-8913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2014-06-03 |
| Last Update Date | 2014-06-03 |