| NPI | 1669040366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JONES HASBROUCK Owner 727-748-4060 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2021-06-17 |