| NPI | 1497127740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON STEPHENSON Owner 727-493-2393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2018-05-26 |