| NPI | 1447703335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAYNA N. SMITH Speech Language Pathologist 954-699-5616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA 13239) | |
| Enumeration Date | 2016-07-27 |
| Last Update Date | 2021-03-19 |