| NPI | 1073849832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANN C DENEMARK Owner 904-233-9672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 6704) |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2009-10-28 |