| NPI | 1205697539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISHA RUSSELL NORTON Speech Language Pathologist 321-276-4385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-01-23 |
| Last Update Date | 2024-01-23 |