| NPI | 1275175259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA MARQUIS Owner 904-210-7085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2019-10-11 |
| Last Update Date | 2026-05-04 |