| NPI | 1598025769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WYANETHA RENNNER President 321-303-4320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL Sa6648) |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2012-05-22 |