NPI | 1225440340 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA M QADRI Co Owner 352-817-4765 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA9030) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA8897) |
Enumeration Date | 2014-05-22 |
Last Update Date | 2014-08-05 |