| NPI | 1114943594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIE HANNA TISHKOFF Pres/VP/Sec. & Speech Language Path 407-540-1937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 2744) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT 5270) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2008-09-19 |