| NPI | 1518647817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA MARTINEZ Speech Language Pathologist/Owner 239-763-0353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 261QE0800X Clinic/Center, Endoscopy |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2023-07-20 |