| NPI | 1114422607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISA BERYL SHILLING Manager 561-351-4103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11693) |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2018-03-27 |