NPI | 1588053946 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIE NORMAN Direct Owner 407-832-7395 |
Organization Subpart ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA7070) |
Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: FL SA11247) |
Enumeration Date | 2015-01-22 |
Last Update Date | 2015-01-22 |