| NPI | 1518770593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA VASSALLO Speech Language Pathologist 786-859-0774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Enumeration Date | 2025-01-31 |
| Last Update Date | 2025-01-31 |