NPI | 1063824597 |
---|---|
Entity Type | Organization |
Authorized Contact | EVA L ODONNELL President 772-240-4382 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11999) |
Enumeration Date | 2014-06-02 |
Last Update Date | 2014-06-02 |