NPI | 1174907240 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA RACHEL GROSSMAN Co Owner/Speech Pathologist 954-617-8138 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA5302) |
Enumeration Date | 2015-07-17 |
Last Update Date | 2015-07-17 |