NPI | 1104567494 |
---|---|
Entity Type | Organization |
Authorized Contact | SARA WERNER Speech Language Pathologist 904-601-2079 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
225X00000X Occupational Therapist | |
Enumeration Date | 2022-04-02 |
Last Update Date | 2022-05-25 |