| NPI | 1306191937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA MONTGOMERY Owner 850-445-8687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA5476) |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2012-07-19 |