NPI | 1548404312 |
---|---|
Entity Type | Organization |
Authorized Contact | DANA MARIE MERRITT Speech Language Pathologist 904-721-4122 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 726) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL 13759) |
Enumeration Date | 2009-04-23 |
Last Update Date | 2014-04-08 |