| NPI | 1609810456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY CLAUDIA JOHNSTON Owner 407-260-0551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA5296) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: FL PT 3886) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT 11334) | |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2014-02-19 |