NPI | 1346213576 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN TAMBASCO Vice President 954-442-9422 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA4906) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT11451) |
Enumeration Date | 2006-02-08 |
Last Update Date | 2014-02-05 |