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 |