| NPI | 1417384926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY THOMAS Owner 904-571-5230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA6674) |
| Enumeration Date | 2013-09-28 |
| Last Update Date | 2013-09-28 |