NPI | 1144954066 |
---|---|
Entity Type | Organization |
Authorized Contact | PRASHANTHI PENDEM Speech Language Pathologist 863-602-6209 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2022-07-15 |
Last Update Date | 2023-12-06 |