| NPI | 1417002726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA MANTZ President, Co Owner 352-861-9191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 6643) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 5967) |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SZ 3988) | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |