| NPI | 1114275351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA MCEWEN Speech Language Pathologist 386-263-7473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA8357) |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2012-08-20 |