NPI | 1164941662 |
---|---|
Entity Type | Organization |
Authorized Contact | SHIRLEY ANN LOPEZ Administrator 407-250-0626 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2017-09-15 |
Last Update Date | 2019-10-09 |