NPI | 1518289024 |
---|---|
Entity Type | Organization |
Authorized Contact | LESLIE ROUCO Speech Language Pathologist 786-431-5140 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA6196) |
Enumeration Date | 2010-02-24 |
Last Update Date | 2010-02-24 |