| NPI | 1083838940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCINDA LEE DIGGS Managing Member 239-540-8255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA6543) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |