| NPI | 1174197073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISABELLA MARTINEZ Speech Language Pathologist 321-337-6243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 225100000X Physical Therapist | |
| Enumeration Date | 2021-05-14 |
| Last Update Date | 2023-12-07 |