| NPI | 1265942205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA STEVENS Speech Language Pathologist 407-227-8370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2017-12-01 |