| NPI | 1538657937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA TECH Owner 850-712-0570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11900) |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2018-05-01 |