NPI | 1063890952 |
---|---|
Entity Type | Organization |
Authorized Contact | LARA PHINNEY President 813-310-5272 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: CA SP 22723) |
Enumeration Date | 2015-05-11 |
Last Update Date | 2015-05-11 |