| NPI | 1063732410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA KALOUSTIAN Speech Language Pathologist 813-352-8005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2011-02-10 |