NPI | 1154211050 |
---|---|
Entity Type | Organization |
Authorized Contact | OSMARA JUDITH FAULKNER Speech Language Pathologist/Owner 813-951-3567 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2025-07-03 |
Last Update Date | 2025-07-03 |