NPI | 1275554362 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIANO AYALA Office Manager 407-847-7344 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 4851) |
Enumeration Date | 2006-07-22 |
Last Update Date | 2020-08-22 |