| NPI | 1689085300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIET WILLIAMS Manager 754-234-6577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA 9460) |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2014-05-15 |