NPI | 1225789936 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELICA GONZALEZ Owner 352-552-7896 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
Enumeration Date | 2022-01-13 |
Last Update Date | 2022-01-13 |