| NPI | 1447014832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY SKAGGS Speech Language Pathologsit 941-405-7737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2024-02-07 |
| Last Update Date | 2024-02-07 |