| NPI | 1215500210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH GIOVANNI GAUTIER Manager 321-300-9320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2021-07-19 |