| NPI | 1467003913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON LEE PAOLI Speech Language Pathologist 941-928-5514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2019-09-26 |