| NPI | 1255350443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANIA RENEE HOWORTH President 321-795-5756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA5911) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |