NPI | 1285795807 |
---|---|
Entity Type | Organization |
Authorized Contact | CARROLL FRANICINA WILCOX Owner 954-793-0148 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 7325) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA5918) |
Enumeration Date | 2006-12-13 |
Last Update Date | 2020-08-22 |