| NPI | 1538584099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON L AMOS Manager/Owner 850-362-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA8134) |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2014-02-20 |