| NPI | 1679857080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA GRUB Speech Language Pathologist 954-439-4148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA6217) |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2011-10-04 |