NPI | 1174205645 |
---|---|
Former Legal Business Name | GEM SPEECH PATHOLOGY |
Entity Type | Organization |
Authorized Contact | JENNIFER TROYA Owner 786-383-5706 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
Additional Taxonomies | 225100000X Physical Therapist |
225X00000X Occupational Therapist | |
Enumeration Date | 2023-08-03 |
Last Update Date | 2024-08-20 |