| 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 |