| NPI | 1427796630 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOAUD CORNELL Managing Member 407-619-8156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2022-05-26 |
| Last Update Date | 2022-10-24 |