| NPI | 1225250764 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGIE FAY ADDISON Owner 850-843-1052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA8913) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2008-06-17 |