| NPI | 1700193679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDITH LISBETH JACIR Director 954-385-8560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: FL SA5276) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT6348) |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI2159) | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI2315) | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: FL SI1600) | |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA9928) | |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SZ6478) | |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA11679) | |
| 235Z00000X Speech-Language Pathologist, (Licence: FL SA10914) | |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2014-04-08 |