NPI | 1215247333 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN GAYLE MARDJETKO Speech Language Pathologist 727-378-8586 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA2502) |
Enumeration Date | 2010-10-08 |
Last Update Date | 2010-10-08 |