| NPI | 1457619801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERA O'BRIEN Owner 321-289-2640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 10919) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2012-04-23 |