| NPI | 1518627702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN INGALLS Speech Language Pathologist 407-205-7471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-12-29 |
| Last Update Date | 2021-12-29 |