| NPI | 1447489240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA ELAINE GRADY Managing Member 904-631-1525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA6782) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2009-07-14 |