| NPI | 1508295155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE KATHERINE AUTENRIETH Owner 407-694-3603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2024-01-24 |