| NPI | 1245725126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAINA PROCTOR Owner 786-246-2046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11343) |
| Enumeration Date | 2018-06-24 |
| Last Update Date | 2018-06-24 |