NPI | 1598891483 |
---|---|
Doing Business As | EASTSIDES SPEECH AND THERAPY |
Entity Type | Organization |
Authorized Contact | LYNNETTE L GRANGER President 954-565-4437 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL 2007001985) |
Enumeration Date | 2007-02-26 |
Last Update Date | 2020-08-22 |