| 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 |