NPI | 1194959403 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLY ROBERTSON Managing Member 407-690-2056 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 9884) |
Enumeration Date | 2009-05-14 |
Last Update Date | 2009-05-14 |