NPI | 1649448028 |
---|---|
Entity Type | Organization |
Authorized Contact | CAREN BODINE Owner 863-644-6200 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA8267) |
Enumeration Date | 2008-02-19 |
Last Update Date | 2008-02-19 |