NPI | 1477682698 |
---|---|
Entity Type | Organization |
Authorized Contact | CYNTHIA GLORVINA SHEPPARD CEO 954-931-5339 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 253) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT 1523) |
Enumeration Date | 2007-03-05 |
Last Update Date | 2025-09-11 |