NPI | 1629118047 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRIS THARRINGTON WATERS President 850-656-1600 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 1658) |
Enumeration Date | 2007-02-07 |
Last Update Date | 2020-08-22 |