| NPI | 1477813129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY ELLEN DYKSTRA Speech Language Pathologist 407-928-5378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA7153) |
| Enumeration Date | 2012-05-29 |
| Last Update Date | 2012-05-29 |