| NPI | 1063767374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY RENEE CLOUSE-NORD Speech Language Pathologist 941-416-0511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA8912) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2012-07-24 |