| NPI | 1477993798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA KAREN SORELLS Speech Language Pathologist 904-701-3512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2023-06-26 |