NPI | 1568654739 |
---|---|
Entity Type | Organization |
Authorized Contact | TINA CRUZ President/Clinical Director 407-619-5427 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA9162) |
Enumeration Date | 2007-08-13 |
Last Update Date | 2007-08-13 |