| NPI | 1285058412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI A ALLERTON Owner 321-749-1863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 4022) |
| Enumeration Date | 2014-02-07 |
| Last Update Date | 2014-02-07 |