NPI | 1417308792 |
---|---|
Entity Type | Organization |
Authorized Contact | MAUREEN KRURNOWSKI Co Owner 352-404-8503 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA12260) |
Enumeration Date | 2016-06-28 |
Last Update Date | 2016-06-28 |