| NPI | 1104416205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINA ANGELINA RODRIGUEZ Speech Language Pathologist 954-529-0350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-01-22 |
| Last Update Date | 2021-01-22 |