| NPI | 1336914647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY THOMAS Owner/President 352-205-0077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2023-11-16 |
| Last Update Date | 2023-11-16 |