NPI | 1194232561 |
---|---|
Doing Business As | MOSAIC THERAPY |
Entity Type | Organization |
Authorized Contact | JESSICA ANN ROSEN Speech Language Pathologist 239-249-5292 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12231) |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
225X00000X Occupational Therapist | |
Enumeration Date | 2018-01-05 |
Last Update Date | 2022-02-05 |