| NPI | 1053755090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORAL C DU QUESNE President 305-803-5018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA8469) |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2013-04-22 |