| NPI | 1114244183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS GIBBONS Speech Language Therapist 407-619-7548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 6265) |
| Enumeration Date | 2010-04-29 |
| Last Update Date | 2010-04-29 |