| NPI | 1356785653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIETRA KATHY VON TABORSKY Speech Therapist 407-766-6315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA9486) |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2013-04-17 |